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世卫组织 2020 年视觉目标:我们做到了吗?

WHO Vision 2020: Have We Done It?

机构信息

The Imperial College Ophthalmic Research Group (ICORG), Imperial College London, NW1 5QH, UK.

Faculty of Medicine, Imperial College London, Exhibition Road, London, UK.

出版信息

Ophthalmic Epidemiol. 2023 Aug;30(4):331-339. doi: 10.1080/09286586.2022.2127784. Epub 2022 Sep 30.

Abstract

BACKGROUND

Eye health has widespread implications across many aspects of life, ranging from the individual to the societal level. Vision 2020: The Right to Sight is an initiative that was conceptualised in 1997 and launched in 1999. It was led by the World Health Organization (WHO) and the International Agency for the Prevention of Blindness (IAPB) in response to the increasing prevalence of blindness. Approximately 80% of the causes of blindness were avoidable. Hence, the initiative set out to eliminate the major causes of avoidable blindness. These included cataract, uncorrected refractive error, trachoma, onchocerciasis, and childhood blindness.

METHODS

An electronic literature search was performed using PubMed, MEDLINE and Embase databases to assess the impacts of the Vision 2020 initiative.

RESULTS AND CONCLUSION

The Vision 2020 initiative was ambitious and was essential in catapulting the issue of avoidable blindness in the spotlight and putting it on the global health agenda. The causes of avoidable blindness remain and have not been eliminated. However, there have been noticeable changes in the distribution of the causes of avoidable blindness since the conception of Vision 2020, and this is mainly due to demographic shifts globally. We highlight some of the remaining challenges to acheiving avoidable blindness including, population size, gender disparities in access to eyecare services, and the professional workforce.

摘要

背景

眼部健康对个人和社会层面的生活的各个方面都有广泛的影响。视觉 2020:看得见的权利是 1997 年提出并于 1999 年发起的一项倡议。它由世界卫生组织(WHO)和国际防盲组织(IAPB)牵头,以应对失明率的不断上升。大约 80%的失明原因是可以预防的。因此,该倡议旨在消除主要的可避免失明原因。这些原因包括白内障、未矫正的屈光不正、沙眼、盘尾丝虫病和儿童失明。

方法

使用 PubMed、MEDLINE 和 Embase 数据库进行电子文献检索,以评估视觉 2020 倡议的影响。

结果与结论

视觉 2020 倡议雄心勃勃,对于将可避免失明问题推向聚光灯下并纳入全球卫生议程至关重要。可避免失明的原因仍然存在,并未消除。然而,自视觉 2020 提出以来,可避免失明原因的分布已经发生了明显变化,这主要是由于全球人口结构的变化。我们强调了实现可避免失明的一些剩余挑战,包括人口规模、获得眼保健服务的性别差距以及专业人员队伍。

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