Immunization Vaccines and Biologicals Department, World Health Organization, Geneva, Switzerland.
MM Global Health Consulting, Geneva,Switzerland.
J Infect Dis. 2021 Sep 30;224(12 Suppl 2):S452-S467. doi: 10.1093/infdis/jiab284.
Immunization is among the most cost-effective public health interventions available and is estimated to have averted at least 37 million deaths between 2000 and 2019. Since the establishment of the Expanded Programme on Immunization in 1974, global vaccination coverage increased and the coverage gap between rich and poor countries decreased. Creation of Gavi, the Vaccine Alliance, in 2000 allowed the poorest countries in the world to benefit from new, life-saving vaccines and expand the breadth of protection against an increasing number of vaccine-preventable diseases. Despite this progress, inequities in access to and uptake of vaccines persist. Opportunities to realize the full potential of vaccines are within reach but require focused, tailored and committed action by Governments and immunization stakeholders. The Immunization Agenda 2030 provides a framework for action during the next decade to attain a world where everyone, everywhere, at every age fully benefits from vaccines for good health and well-being.
免疫接种是最具成本效益的公共卫生干预措施之一,据估计,在 2000 年至 2019 年期间至少避免了 3700 万人死亡。自 1974 年扩大免疫规划成立以来,全球疫苗接种覆盖率不断提高,富国和穷国之间的覆盖率差距不断缩小。2000 年,疫苗联盟(Gavi)的成立使世界上最贫穷的国家能够受益于新的、拯救生命的疫苗,并扩大了针对越来越多可通过疫苗预防疾病的保护范围。尽管取得了这一进展,但在获取和使用疫苗方面仍存在不平等现象。充分发挥疫苗潜力的机会近在咫尺,但需要各国政府和免疫利益攸关方采取有针对性、量身定制和坚定的行动。《2030 年免疫议程》为未来十年的行动提供了框架,以实现一个人人、无论何地、在任何年龄都能充分受益于疫苗以促进健康和福祉的世界。