The Kirby Institute, University of New South Wales Sydney, Wallace Wurth Building (C27), Kensington, New South Wales2052, Australia.
London School of Hygiene and Tropical Medicine, London, England.
Bull World Health Organ. 2023 Oct 1;101(10):649-665. doi: 10.2471/BLT.23.289676. Epub 2023 Sep 6.
To consolidate recent information on elimination and eradication goals for infectious diseases and clarify the definitions and associated terminology for different goals.
We conducted a systematic search of the World Health Organization's Institutional Repository for Information Sharing (WHO IRIS) and a customized systematic Google advanced search for documents published between 2008 and 2022 on elimination or eradication strategies for infectious conditions authored by WHO or other leading health organizations. We extracted information on names of infectious conditions, the elimination and eradication goals and timelines, definitions of goals, non-standardized terminology, targets and assessment processes.
We identified nine goals for 27 infectious conditions, ranging from disease control to eradication. In comparison with the hierarchy of disease control, as defined at the Dahlem Workshop in 1997, six goals related to disease control with varying levels of advancement, two related to elimination and one to eradication. Goals progressed along a disease-control continuum, such as end of disease epidemic to pre-elimination to elimination as a public health problem or threat. We identified the use of non-standardized terminology with certain goals, including elimination, of disease epidemics, public health and public health
As we approach the 2030 target date to achieve many of the goals related to disease control and for other infections to become candidates for elimination in the future, clarity of definitions and objectives is important for public health professionals and policy-makers to avoid misperceptions and miscommunication.
整合传染病消除和根除目标的最新信息，阐明不同目标的定义和相关术语。
我们对世界卫生组织信息共享机构知识库（WHO IRIS）进行了系统检索，并对 2008 年至 2022 年间由世界卫生组织或其他主要卫生组织撰写的有关传染病消除或根除策略的文献进行了定制的谷歌高级搜索。我们提取了传染病名称、消除和根除目标和时间表、目标定义、非标准化术语、目标和评估过程的信息。
我们确定了 27 种传染病的 9 个目标，范围从疾病控制到根除。与 1997 年 Dahlem 研讨会定义的疾病控制层次结构相比，有 6 个与疾病控制相关的目标，具有不同程度的进展，2 个与消除相关，1 个与根除相关。目标沿着疾病控制连续体进展，例如疾病流行的结束、到消除作为公共卫生问题或威胁之前的阶段。我们发现某些目标使用了非标准化术语，包括消除疾病流行、公共卫生和公共卫生。
随着我们接近 2030 年实现与疾病控制相关的许多目标的目标日期，以及未来其他传染病成为消除候选的目标，明确定义和目标对于公共卫生专业人员和政策制定者非常重要，以避免误解和沟通不畅。
