Limia Sánchez Aurora, Molina Olivas Marta
Rev Esp Salud Publica. 2015 Jul-Aug;89(4):357-64. doi: 10.4321/S1135-57272015000400004.
The World Health Organization had established the achievement and sustainability of very high coverage with two doses of vaccine against measles and at least one against rubella as one of the key strategies for the elimination of both measles and rubella. The current immunization programme in Spain includes the immunization with two doses of combined vaccine against measles, mumps and rubella at 12 months and 3-4 years of age. Since 2000 coverage with first dose is over the target of 95% but the coverage with the second dose remains between 90 and 95%. In 2014, at subnational level three regions had coverage below the objective and only eight regions achieved the objective for the second dose. The challenges and some activities to strengthen the immunization programme in order to achieve the elimination of measles and rubella are discussed.
世界卫生组织已将实现两剂麻疹疫苗的极高覆盖率以及至少一剂风疹疫苗的覆盖率并保持其可持续性，确立为消除麻疹和风疹的关键战略之一。西班牙目前的免疫规划包括在12月龄和3至4岁时接种两剂麻疹、腮腺炎和风疹联合疫苗。自2000年以来，首剂疫苗的覆盖率超过了95%的目标，但第二剂疫苗的覆盖率仍在90%至95%之间。2014年，在国家以下层面，有三个地区的覆盖率低于目标，只有八个地区实现了第二剂疫苗的目标覆盖率。本文讨论了为实现消除麻疹和风疹而加强免疫规划所面临的挑战及一些活动。
