School of Medicine and Public Health, University of Newcastle, Newcastle, NSW, Australia.
Lancet Infect Dis. 2020 Jun;20(6):e138-e141. doi: 10.1016/S1473-3099(20)30052-9. Epub 2020 Mar 17.
Measles eradication is biologically and technically feasible, but suboptimal immunisation programme performance, insufficient political commitment, overcautious global agencies, and inadequate prioritisation by important donors are hindering progress towards this noble public health goal. These constraints have given rise to a global resurgence in measles cases and preventable deaths, with re-established transmission in countries that have previously eliminated endemic virus transmission. The ethical, economic, and epidemiological reasons for accelerating progress towards eradication are irrefutable. Measles virus also serves as the most sensitive test of universal health coverage. Where health systems are not reaching all susceptible children and communities, the presence of measles cases will expose and proclaim this failure. The global health community should urgently intensify efforts to eradicate measles.
麻疹消除在生物学和技术上是可行的,但免疫规划执行情况欠佳、政治承诺不足、全球机构过于谨慎以及重要捐助方重视不够,这些因素都阻碍了朝着这一崇高公共卫生目标取得进展。这些限制因素导致麻疹病例和可预防死亡人数在全球范围内再次出现,曾经消除地方性病毒传播的国家也重新出现了病毒传播。加快消除工作的伦理、经济和流行病学理由是无可辩驳的。麻疹病毒也是对全民健康覆盖最敏感的检验。在卫生系统不能覆盖所有易感儿童和社区的地方,麻疹病例的出现将暴露和宣告这一失败。全球卫生界应紧急加紧努力,消除麻疹。