Emerg Infect Dis. 2019 Apr;25(4):625-632. doi: 10.3201/eid2504.181305. Epub 2019 Apr 17.
Venezuela's tumbling economy and authoritarian rule have precipitated an unprecedented humanitarian crisis. Hyperinflation rates now exceed 45,000%, and Venezuela's health system is in free fall. The country is experiencing a massive exodus of biomedical scientists and qualified healthcare professionals. Reemergence of arthropod-borne and vaccine-preventable diseases has sparked serious epidemics that also affect neighboring countries. In this article, we discuss the ongoing epidemics of measles and diphtheria in Venezuela and their disproportionate impact on indigenous populations. We also discuss the potential for reemergence of poliomyelitis and conclude that action to halt the spread of vaccine-preventable diseases within Venezuela is a matter of urgency for the country and the region. We further provide specific recommendations for addressing this crisis.
委内瑞拉不断恶化的经济和独裁统治引发了一场前所未有的人道主义危机。目前,该国的通货膨胀率已超过 45000%,其医疗体系也已崩溃。该国正经历大批生物医学科学家和合格医疗专业人员的外流。虫媒传染病和可通过疫苗预防的疾病死灰复燃,导致严重疫情爆发,也殃及邻国。本文讨论了委内瑞拉正在发生的麻疹和白喉疫情及其对土著居民的不成比例影响。我们还讨论了脊髓灰质炎重新出现的可能性,并得出结论,必须紧急采取行动制止委内瑞拉境内疫苗可预防疾病的传播,这不仅是委内瑞拉,也是该地区面临的当务之急。我们还为应对这一危机提供了具体建议。