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非洲能否实现群体免疫?

Can Africa achieve herd immunity?

机构信息

Department of Global Health and Development, London School of Hygiene and Tropical Medicine, London, UK.

Faculty of Management and Development Studies, University of the Philippines Open University, Los Baños, Laguna, Philippines.

出版信息

Glob Health Res Policy. 2021 Dec 2;6(1):46. doi: 10.1186/s41256-021-00231-1.


DOI:10.1186/s41256-021-00231-1
PMID:34852844
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8636285/
Abstract

The World Health Organization described herd immunity, also known as population immunity, as the indirect fortification from an infectious disease that happens when a population is immune either through vaccination or immunity developed through previous exposure to infection. The emergence of COVID-19 vaccine is a step towards the achievement of herd immunity. Over one billion people across the globe have been vaccinated and Africa recorded only 2%. The objective of this article was to develop a forecast of the number of people to be vaccinated to achieve herd immunity in the 13 WHO-identified priority African countries for COVID-19. Herd immunity is achieved when one infected person in a population causes less than one secondary case on average, corresponding to the effective basic reproduction number (R). Vaccine delivery and distribution infrastructure including the cold chain remains weak. Vaccine hesitancy is also one of the limiting factors that may hinder herd immunity in Africa. In order to achieve herd immunity globally, African countries should not be excluded in fair and equal distribution of vaccines. Relevant stakeholders should foster commitment as well as community sensitization on COVID-19 vaccines and integration of COVID-19 vaccines in existing healthcare services.

摘要

世界卫生组织将群体免疫(也称为人群免疫)描述为一种间接防御传染病的方式,当人群通过接种疫苗或以前接触感染而产生免疫力时,就会发生这种情况。COVID-19 疫苗的出现是实现群体免疫的一步。全球已有超过 10 亿人接种了疫苗,而非洲仅记录了 2%。本文的目的是预测在世界卫生组织确定的 COVID-19 优先非洲国家中,为实现群体免疫而需要接种疫苗的人数。当人群中一个感染者平均导致不到一个二次病例时,就会达到群体免疫,这对应于有效基本繁殖数 (R)。疫苗的提供和分配基础设施,包括冷链,仍然薄弱。疫苗犹豫也是可能阻碍非洲群体免疫的限制因素之一。为了在全球范围内实现群体免疫,非洲国家不应被排除在公平和公平分配疫苗之外。相关利益攸关方应促进对 COVID-19 疫苗的承诺以及社区宣传,并将 COVID-19 疫苗纳入现有医疗保健服务中。

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[2]
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[3]
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[4]
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[5]
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[6]
Public Health Emergence: Challenges and Prospects for the Future of Herd Immunity to Reduce the Negative Impact of Disease X in Low- and Middle-Income Countries.

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[7]
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Risk Manag Healthc Policy. 2024-3-5

[8]
Road to achieving COVID-19 herd immunity in Niger Republic: Challenges and recommendations.

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[9]
Indirect Dispersion of SARS-CoV-2 Live-Attenuated Vaccine and Its Contribution to Herd Immunity.

Vaccines (Basel). 2023-3-14

[10]
Achieving herd immunity in South America.

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本文引用的文献

[1]
Economic impact of COVID-19 pandemic on healthcare facilities and systems: International perspectives.

Best Pract Res Clin Anaesthesiol. 2021-10

[2]
Risk communication and community engagement strategies for COVID-19 in 13 African countries.

Health Promot Perspect. 2021-5-19

[3]
Equitable and Effective Distribution of the COVID-19 Vaccines - A Scientific and Moral Obligation.

Int J Health Policy Manag. 2022-2-1

[4]
'Unprecedented achievement': who received the first billion COVID vaccinations?

Nature. 2021-4-29

[5]
While flattening the curve and raising the line, Africa should not forget street vending practices.

Health Promot Perspect. 2021-2-7

[6]
Dealing with vaccine hesitancy in Africa: the prospective COVID-19 vaccine context.

Pan Afr Med J. 2021

[7]
Who Will Pay for the COVID-19 Vaccines for Africa?

Am J Trop Med Hyg. 2021-1-7

[8]
Non-viral COVID-19 vaccine delivery systems.

Adv Drug Deliv Rev. 2021-2

[9]
Overcoming COVID-19 in West African countries: is herd immunity an option?

Pan Afr Med J. 2020-7-6

[10]
The coronavirus is mutating - does it matter?

Nature. 2020-9

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