Universidade de Brasília, Programa de Pós-Graduação em Saúde Coletiva, Brasília, DF, Brasil.
Instituto Evandro Chagas, Ananindeua, PA, Brasil.
Rev Soc Bras Med Trop. 2020 Dec 11;53:e20200787. doi: 10.1590/0037-8682-0787-2020. eCollection 2020.
Since 2016, Brazil has been in the midst of its largest sylvatic yellow fever epidemic ever, found predominantly outside the Amazon region. Cases originating from Brazil have been reported in France, the Netherlands, Romania, Switzerland, Argentina, and Chile. The epidemic began in the Central-West region of Brazil in 2014, spreading into the Southern region, with significant non-human primate transmission continuing towards Paraguay and Argentina.
This report is an integrative review of Pan American Health Organization cooperation during a sylvatic yellow fever epidemic.
The Pan American Health Organization has played a central role in handling the yellow fever emergency, collaborating with the Ministry of Health and various research groups in supporting interventions of different response areas. The Pan American Health Organization's technical cooperation included: training and workshops to exchange experiences, carrying out technical cooperation in patient management and epidemiological, entomological, laboratory, and epizootic surveillance, organizing the assistance network, and acquiring strategic inputs. The Pan American Health Organization's technical cooperation supported the Ministry of Health's decision to adopt a single-dose vaccine and use fractional doses to support the vaccination needs of more than 39,000,000 people. The coronavirus disease 2019 pandemic contributed to the failure of reaching the yellow fever vaccination goals and made it difficult to integrate the yellow fever vaccine into recommended areas.
Given the ongoing coronavirus disease 2019 pandemic, it is necessary to strengthen measures for the surveillance, prevention, and control of yellow fever with multilateral cooperation between countries.
自 2016 年以来，巴西一直处于有史以来最大的丛林黄热病疫情之中，主要发生在亚马逊地区以外。巴西的病例已在法国、荷兰、罗马尼亚、瑞士、阿根廷和智利报告。疫情始于 2014 年巴西中西部地区，蔓延至南部地区，与非人类灵长类动物的大量传播继续向巴拉圭和阿根廷蔓延。
这是对泛美卫生组织在丛林黄热病疫情期间合作的综合回顾报告。
泛美卫生组织在处理黄热病紧急情况方面发挥了核心作用，与卫生部和各研究小组合作，支持不同应对领域的干预措施。泛美卫生组织的技术合作包括：培训和经验交流讲习班、开展患者管理以及流行病学、昆虫学、实验室和动物疫情监测方面的技术合作、组织援助网络以及获取战略投入。泛美卫生组织的技术合作支持卫生部决定采用单剂量疫苗，并使用部分剂量来满足 3900 多万人的疫苗接种需求。2019 年冠状病毒病大流行导致未能实现黄热病疫苗接种目标，并使黄热病疫苗难以纳入推荐接种地区。
鉴于 2019 年冠状病毒病大流行的持续，有必要在国家间开展多边合作，加强对黄热病的监测、预防和控制措施。
