World Health Organization, Geneva, Switzerland.
J Infect Dis. 2018 Oct 15;218(suppl_3):S137-S140. doi: 10.1093/infdis/jiy486.
While safe drinking water and advanced sanitation systems have made the Global North cholera-free for decades, the disease still affects 47 countries across the globe resulting in an estimated 2.86 million cases and 95,000 deaths per year worldwide. Cholera impacts communities already burdened by conflict, lack of infrastructure, poor health systems, and malnutrition. In October 2017, the Global Task Force on Cholera Control (GTFCC) launched an initiative titled Ending Cholera: A Global Roadmap to 2030, with the objective to reduce cholera deaths by 90% worldwide, and eliminate cholera in at least 20 countries by 2030. The GTFCC is working to position cholera control not as a vertical programme but instead using cholera as a marker of inequity and an indicator of poverty, linking the objectives of the Roadmap to the SDGs. The roadmap consists of targeted multi-sectoral interventions, supported by a coordination mechanism, along 3 axes: (1) early detection and quick response to contain outbreaks; (2) a multisectoral approach to prevent cholera recurrence in hotspots; (3) an effective partnership mechanism of coordination for technical support, countries capacity building, research and M&E, advocacy and resource mobilization. Every case and every death from cholera is preventable with the tools we have today.
虽然安全饮用水和先进的卫生系统使北美数十年来免受霍乱的影响,但该疾病仍影响着全球 47 个国家,导致全球每年约有 286 万例病例和 9.5 万人死亡。霍乱影响到那些已经深受冲突、基础设施匮乏、卫生系统薄弱和营养不良困扰的社区。2017 年 10 月,全球霍乱控制工作队(GTFCC)发起了一项名为“终结霍乱:2030 年全球路线图”的倡议,目标是在全球范围内将霍乱死亡人数减少 90%,并在 2030 年前至少在 20 个国家消除霍乱。GTFCC 致力于将霍乱控制定位为一项多部门综合性的工作,而不是一个垂直项目,将霍乱作为不平等的标志和贫困的指标,将路线图的目标与可持续发展目标联系起来。该路线图由以下三个方面的有针对性的多部门干预措施组成,由协调机制提供支持:(1)早期发现和快速反应,以遏制疫情爆发;(2)多部门方法预防热点地区霍乱复发;(3)有效的伙伴关系机制,用于协调技术支持、国家能力建设、研究和监测与评价、宣传和资源动员。今天我们拥有的工具可以预防每一例霍乱病例和每一例霍乱死亡。