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全球根除脊髓灰质炎:迄令的历程

Global Polio Eradication,The Journey So Far.

作者信息

Thacker Naveen, Yewale Vijay N, Pathak Ashish

机构信息

Deep Children Hospital and Research Centre, Gandhidham, Gujarat; *Dr Yewale Multispeciality Hospial for Children, Vashi, Mumbai, and Department of Pediatrics, RD Gardi Medical College, Ujjain, Madhya Pradesh, India. Correspondence to: Dr Naveen Thacker, Director, Deep Children Hospital and Research Centre, Gandhidham, Gujarat, India.

出版信息

Indian Pediatr. 2016 Aug 7;53 Suppl 1:S61-S64.

Abstract

The Global Polio Eradication Initiative (GPE I), since its launch in 1988 has achieved more than 99% reduction in polio cases globally, using oral polio vaccine (OPV). Currently only two countries (Pakistan and Afghanistan) have not been able to stop transmission of wild poliovirus (wPV). In this article, we discuss some of the challenges faced by these two countries. The lessons learnt from the tremendous public health success stories of India and Nigeria are also highlighted. Reintroduction of wPV in the polio-free areas remains a valid risk globally and some recent examples are discussed. Inactivated polio vaccine (IPV) is the most accepted risk-mitigation strategy to secure a polio-free world from both wPV and circulating vaccine derived poliomyelitis (VDPV). The challenges related to switch from trivalent to bivalent OPV and introduction of IPV in 156 countries using trivalent OPV, are also highlighted.

摘要

全球根除脊髓灰质炎行动(GPEI)自1988年启动以来,通过使用口服脊髓灰质炎疫苗(OPV),已使全球脊髓灰质炎病例减少了99%以上。目前仅有两个国家(巴基斯坦和阿富汗)未能阻止野生脊髓灰质炎病毒(wPV)的传播。在本文中,我们讨论了这两个国家面临的一些挑战。还强调了从印度和尼日利亚取得的巨大公共卫生成功案例中吸取的经验教训。在无脊髓灰质炎地区重新引入wPV在全球范围内仍然是一个切实存在的风险,文中讨论了一些近期的例子。灭活脊髓灰质炎疫苗(IPV)是确保全球免受wPV和循环疫苗衍生脊髓灰质炎(VDPV)侵害从而实现无脊髓灰质炎世界的最被认可的风险缓解策略。文中还强调了在156个使用三价OPV的国家从三价OPV转换为二价OPV以及引入IPV所面临的挑战。

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