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本文引用的文献

1
[Elimination of measles in the WHO European Region-challenges persist].[世卫组织欧洲区域消除麻疹——挑战依然存在]
Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2019 Apr;62(4):440-449. doi: 10.1007/s00103-019-02920-2.
2
Measles cases in Europe tripled from 2017 to 2018.欧洲的麻疹病例在2017年至2018年期间增加了两倍。
BMJ. 2019 Feb 7;364:l634. doi: 10.1136/bmj.l634.
3
Assessment of vaccine effectiveness during measles outbreak in the Federation of Bosnia and Herzegovina, 2014-2015.2014 - 2015年波斯尼亚和黑塞哥维那联邦麻疹疫情期间疫苗效力评估
Cent Eur J Public Health. 2018 Jun;26(2):79-82. doi: 10.21101/cejph.a4754.
4
Public health significance of immunization and epidemic occurrence of measles.免疫接种的公共卫生意义及麻疹的流行情况
Med Glas (Zenica). 2018 Feb 1;15(1):46-51. doi: 10.17392/941-18.
5
Addressing vaccine hesitancy: the crucial role of healthcare providers.应对疫苗犹豫:医疗保健提供者的关键作用。
Clin Microbiol Infect. 2017 May;23(5):279-280. doi: 10.1016/j.cmi.2016.11.007. Epub 2016 Nov 13.
6
Measles and Measles Vaccination: A Review.麻疹与麻疹疫苗:综述。
JAMA Pediatr. 2016 Dec 1;170(12):1209-1215. doi: 10.1001/jamapediatrics.2016.1787.
7
Discrepancies between general practitioners' vaccination recommendations for their patients and practices for their children.全科医生对患者和自己孩子疫苗接种建议的差异。
Clin Microbiol Infect. 2017 May;23(5):311-317. doi: 10.1016/j.cmi.2016.08.019. Epub 2016 Sep 4.
8
An ongoing measles outbreak in the Federation of Bosnia and Herzegovina, 2014 to 2015.2014 年至 2015 年波斯尼亚和黑塞哥维那联邦持续发生麻疹疫情。
Euro Surveill. 2015 Mar 5;20(9):21047. doi: 10.2807/1560-7917.es2015.20.9.21047.
9
Vaccines for measles, mumps and rubella in children.儿童麻疹、腮腺炎和风疹疫苗。
Cochrane Database Syst Rev. 2012 Feb 15;2012(2):CD004407. doi: 10.1002/14651858.CD004407.pub3.
10
The vaccine-autism connection: a public health crisis caused by unethical medical practices and fraudulent science.疫苗与自闭症的关联:不道德的医疗行为和欺诈性科学导致的公共健康危机。
Ann Pharmacother. 2011 Oct;45(10):1302-4. doi: 10.1345/aph.1Q318. Epub 2011 Sep 13.

2019 年波黑麻疹疫情:强制免疫计划出了什么问题?

The 2019 measles epidemic in Bosnia and Herzegovina: What is wrong with the mandatory vaccination program?

机构信息

Department of Infectious Diseases, University Clinical Hospital Mostar, Mostar, Bosnia and Herzegovina.

出版信息

Bosn J Basic Med Sci. 2019 Aug 20;19(3):210-212. doi: 10.17305/bjbms.2019.4266.

DOI:10.17305/bjbms.2019.4266
PMID:31064166
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6716099/
Abstract

Measles is a highly contagious and communicable viral disease which may be prevented by a sustained vaccination program. Due to missed vaccination, two major epidemics of measles (1997-1999 and 2014-2015) have been recorded after the war in Bosnia and Herzegovina (BH) with over 10,000 patients registered. According to the World Health Organization, BH is categorized as a country with endemic transmission of measles. The last measles epidemic was between 2014 and 2015, with 5,083 documented patients in the Federation of BH. In the first four months of 2019, more than 700 measles cases were registered in the same region. Significant transmission rate has been observed in Sarajevo Canton (SC) with 570 documented measles cases. Out of 570 measles cases in SC, 92.5% were unvaccinated. The most affected were children up to 6 years of age (62.8%), with one documented case of death (7-month old infant). In addition to this report, we discussed key stakeholders and possible circumstances responsible for the epidemic. The measles epidemic is still ongoing.

摘要

麻疹是一种高度传染性和可传播的病毒性疾病,可以通过持续的疫苗接种计划来预防。由于疫苗接种失误,在波斯尼亚和黑塞哥维那(波黑)战后,记录了两次大规模的麻疹疫情(1997-1999 年和 2014-2015 年),登记的患者超过 10000 人。根据世界卫生组织的说法,波黑被归类为麻疹地方性传播的国家。最后一次麻疹疫情发生在 2014 年至 2015 年期间,在波黑联邦有 5083 例确诊患者。在 2019 年的前四个月,同一地区登记了超过 700 例麻疹病例。在萨拉热窝州(SC)观察到了显著的传播率,有 570 例确诊的麻疹病例。在 SC 的 570 例麻疹病例中,92.5%的病例未接种疫苗。受影响最严重的是 6 岁以下的儿童(62.8%),有一例死亡病例(7 个月大的婴儿)。除了这份报告,我们还讨论了导致疫情的关键利益相关者和可能的情况。麻疹疫情仍在继续。