Henderson R H
Rev Infect Dis. 1984 May-Jun;6 Suppl 2:S475-9. doi: 10.1093/clinids/6.supplement_2.s475.
In the developing world today, less than 20% of children are immunized against diphtheria, pertussis, tetanus, tuberculosis, measles, and poliomyelitis. Consequently, these diseases kill 10 children and disable 10 more each minute. To address this problem, the World Health Organization created the Expanded Programme on Immunization (EPI), with the goal of reducing morbidity and mortality by making immunization services available for all children of the world by 1990. This goal will be difficult to achieve. Information systems and immunization services themselves need to be strengthened. This goal will require commitments by the developing countries of human resources and commitments by developing and developed countries of financial support. Commitment is also needed by parents, who need to be informed that death and disability from these diseases can disappear if their children are immunized. Can these commitments be obtained? There is no choice but to try, for few appeals can be made as powerfully. The EPI cannot be permitted to fail.
在当今发展中世界,不到20%的儿童接种了白喉、百日咳、破伤风、结核病、麻疹和脊髓灰质炎疫苗。因此,这些疾病每分钟导致10名儿童死亡,另有10名儿童致残。为解决这一问题,世界卫生组织设立了扩大免疫规划(EPI),目标是到1990年通过为全世界所有儿童提供免疫服务来降低发病率和死亡率。这一目标很难实现。信息系统和免疫服务本身需要得到加强。这一目标需要发展中国家在人力资源方面做出承诺,也需要发展中国家和发达国家在财政支持方面做出承诺。家长们也需要做出承诺,需要让他们了解,如果他们的孩子接种疫苗,这些疾病导致的死亡和残疾是可以避免的。能获得这些承诺吗?别无选择,只能尝试,因为很少有呼吁能如此有力。绝不能让扩大免疫规划失败。