Hastings Cent Rep. 2019 May;49(3):8-9. doi: 10.1002/hast.996. Epub 2019 Apr 22.
Vaccination is one of history's most successful public health interventions. Since 2000, vaccination campaigns against measles, which is highly contagious but preventable through the measles-mumps-rubella (MMR) vaccine, have reduced both the global incidence of the disease and measles deaths by 80 percent. However, progress toward measles elimination has slid backward in several previously well-protected global regions. With more communities below or at risk of falling below the 95 percent immunization rates required for herd immunity-due more and more to vaccine skepticism and declination rather than lack of access-many U.S. states and countries must reappraise their vaccination policies and programs.
疫苗接种是历史上最成功的公共卫生干预措施之一。自 2000 年以来,针对麻疹的疫苗接种运动(麻疹高度传染性,但可通过麻疹、腮腺炎和风疹(MMR)疫苗预防)降低了该疾病的全球发病率和麻疹死亡率 80%。然而,在几个以前保护良好的全球区域,消除麻疹的进展已经倒退。由于越来越多的人对疫苗持怀疑态度和拒绝接种,而不是由于无法获得疫苗,更多的社区低于或有风险低于群体免疫所需的 95%的免疫接种率,许多美国州和国家必须重新评估其疫苗接种政策和计划。