Hinman A R, Foege W H, de Quadros C A, Patriarca P A, Orenstein W A, Brink E W
Bull World Health Organ. 1987;65(6):835-40.
Global eradication of poliomyelitis can be achieved by a programme strategy that includes achievement and maintenance of high immunization levels, effective surveillance to detect all new cases, and a rapid vigorous response to the occurrence of new cases. Regional eradication targets have already been set in Europe and the Americas. Possible impediments to eradication include the necessity to generate political and social will; managerial constraints; issues of vaccine efficacy, stability, and cost; and adequacy of surveillance. We believe that the impediments can be overcome and that with intensified effort and increased international collaboration, global eradication could be achieved as early as 1995.
通过一项计划战略可以实现全球消灭脊髓灰质炎,该战略包括实现并维持高免疫水平、进行有效监测以发现所有新病例,以及对新病例的出现做出迅速有力的应对。欧洲和美洲已经设定了区域消灭目标。消灭工作可能面临的障碍包括需要产生政治和社会意愿;管理方面的限制;疫苗效力、稳定性和成本问题;以及监测的充分性。我们相信这些障碍是可以克服的,并且通过加大努力和加强国际合作,最早可在1995年实现全球消灭脊髓灰质炎。