Center for Vaccine Equity, Task Force for Global Health, Decatur, GA, United States of America.
Emory Vaccine Center, Emory University, Atlanta, GA, United States of America.
Prev Med. 2021 Mar;144:106325. doi: 10.1016/j.ypmed.2020.106325. Epub 2021 Mar 4.
This paper reviews definitions of control, elimination, and eradication and considers lessons learned from prior and current elimination/eradication efforts that might inform the current effort to eliminate cervical cancer. This task is complicated by the varying definitions of elimination extant. Lessons for cervical cancer elimination notably include the necessity for political will/champions; the need for a specific target with a time span; the need for program efforts to be guided by surveillance of disease and death (not just coverage); the need for accountability, monitoring, and evaluation at all levels; and the need for ongoing research. Although achieving the goal of elimination will be difficult, success will mean the prevention of millions of deaths due to cervical cancer.
本文回顾了控制、消除和根除的定义，并考虑了既往和当前消除/根除工作中吸取的经验教训，这些经验教训可能为当前消除宫颈癌的努力提供参考。这项任务因消除定义的不同而变得复杂。宫颈癌消除的经验教训包括：需要政治意愿/拥护者；需要有具体的目标和时间跨度；需要根据疾病和死亡的监测（不仅仅是覆盖面）来指导规划工作；需要在各个层面上的问责制、监测和评估；需要持续研究。尽管实现消除目标将是困难的，但成功将意味着预防数以百万计的宫颈癌死亡。
