Kid Risk, Inc., Orlando, FL, USA.
University of Central Florida, College of Medicine, Orlando, FL, USA.
Risk Anal. 2017 Jun;37(6):1041-1051. doi: 10.1111/risa.12823. Epub 2017 May 4.
Measles and rubella continue to circulate globally. Complementing Part I of the special issue, this introduction provides a contrast between other global eradication initiatives and the experience with measles and rubella eradication to date. This introduction builds on the syntheses of the literature provided in Part I and it describes the creation and application of a national risk assessment tool and the development of a dynamic disease transmission model to support global efforts to optimally manage measles and rubella globally using vaccines. Currently, efforts to eradicate measles and rubella suffer from the lack of a commitment to global eradication by key stakeholders, despite strong evidence that their eradication represents a better health and financial option than continued control.
麻疹和风疹在全球仍有传播。本引言是特刊第一部分的补充,对其他全球根除倡议以及迄今的麻疹和风疹根除经验进行了对比。本引言基于第一部分文献综述的综合内容,介绍了国家风险评估工具的创建和应用,以及动态疾病传播模型的开发,以支持利用疫苗在全球范围内优化管理麻疹和风疹的全球工作。目前,尽管有强有力的证据表明,与持续控制相比,根除麻疹和风疹更能保障健康和节约成本,但由于关键利益攸关方缺乏对全球根除的承诺,根除麻疹和风疹的工作受到阻碍。