Lo E K
Rev Infect Dis. 1985 May-Jun;7 Suppl 2:S251-3. doi: 10.1093/clinids/7-supplement_2.s251.
In 1954, with the assistance of the World Health Organization and the United Nations Children's Fund, a campaign against yaws was initiated in Malaysia with the formation of a yaws elimination unit in the Ministry of Health. Between 1954 and 1975, the reported annual incidence of yaws fell from 140.85 to 1.25 per 100,000 population. When rates dropped to less than two per 100,000, the program was merged with the general health services. Currently when cases are reported, contacts are traced, school and village surveys are carried out, and appropriate treatment is given. The major problems facing the control program today are a loss of interest in control activities; a smaller number of health workers experienced in the diagnosis, management, and control of the disease; and a growing reluctance to treat asymptomatic contacts with penicillin for fear of anaphylactoid reactions. Despite these problems, it is not an unreasonable expectation that, with continued stimulation from the individuals responsible for infectious disease control, yaws will eventually be eliminated.
1954年，在世界卫生组织和联合国儿童基金会的协助下，马来西亚发起了一场防治雅司病的运动，卫生部成立了一个雅司病消除小组。1954年至1975年间，报告的雅司病年发病率从每10万人140.85例降至1.25例。当发病率降至每10万人少于2例时，该项目并入了一般卫生服务。目前，一旦报告病例，就会追踪接触者，开展学校和村庄调查，并给予适当治疗。如今，控制项目面临的主要问题是对控制活动失去兴趣；有疾病诊断、管理和控制经验的卫生工作者数量减少；以及越来越不愿意用青霉素治疗无症状接触者，因为担心类过敏反应。尽管存在这些问题，但在负责传染病控制的人员持续推动下，最终消除雅司病并非不合理的期望。
