Holý Ondřej, Vlčková Jana, Janoušková Lenka, Matoušková Ivanka
Department of Preventive Medicine, Faculty of Medicine and Dentistry, Palacky University Olomouc, Czech Republic, e-mail:
Klin Mikrobiol Infekc Lek. 2017 Mar;23(1):10-16.
Diphtheria, tetanus and pertussis are very serious diseases threatening the lives of children and adults. However, these diseases are preventable by vaccination. After the World Health Organization was founded in 1946, its experts rapidly developed a vaccination schedule for the pediatric population. The former Czechoslovakia, a founding member of this organization, actively participated in the implementation of vaccination against many infectious diseases, including vaccinations against tetanus, diphtheria and pertussis. Mass vaccination of children could not be implemented in all countries of the European Region. The main problem was differences in the economic situation since the mass vaccination of the pediatric population represents a significant financial burden. It was only in the early 1970´s that the pediatric immunization program was initiated in developing countries. The article compares the impact of vaccination in different continents (Europe, Asia, Africa) since 1980. High immunization coverge is essential for a reduction in the incidence of the above infectious diseases. Cases of the diseases reported between 1980 and 2016 are cited in the article. Trends in these infectious diseases are related to the economic and political changes that occurred at the turn of the millennium.
白喉、破伤风和百日咳是威胁儿童和成人生命的非常严重的疾病。然而,这些疾病可通过接种疫苗来预防。1946年世界卫生组织成立后,其专家迅速为儿童群体制定了疫苗接种计划。该组织的创始成员国之一前捷克斯洛伐克积极参与了针对许多传染病的疫苗接种实施工作,包括破伤风、白喉和百日咳疫苗接种。欧洲区域并非所有国家都能实施儿童大规模疫苗接种。主要问题在于经济状况的差异,因为儿童大规模疫苗接种是一项巨大的财政负担。直到20世纪70年代初,发展中国家才启动儿童免疫计划。本文比较了自1980年以来不同大洲(欧洲、亚洲、非洲)疫苗接种的影响。高免疫覆盖率对于降低上述传染病的发病率至关重要。本文引用了1980年至2016年间报告的这些疾病病例。这些传染病的趋势与千禧之交发生的经济和政治变化有关。