Blecher M S, Hussey G, Keen G A, Eggers R, Girdler-Brown B
Department of Community Health, University of Cape Town.
S Afr Med J. 1994 Oct;84(10):664-8.
An international campaign under the leadership of the World Health Organisation is underway to eradicate polio from the world by the year 2000. South Africa may already be free of polio. However, to ensure eradication we need to move from a polio control programme to a polio eradication programme. This necessitates the institution of a surveillance programme for acute flaccid paralysis (AFP) and improvement of the delivery of polio vaccine. All children with AFP (including those with suspected Guillain-Barré syndrome) should be investigated with stool culture to exclude polio. Primary care services need strengthening so that oral polio vaccine coverage greater than 90% is achieved in all regions by all authorities. Outbreak response activities need to be developed. Consideration needs to be given to national immunisation days and mopping-up activities.
由世界卫生组织领导的一场国际运动正在进行中，目标是到2000年在全球根除脊髓灰质炎。南非可能已无脊髓灰质炎。然而，为确保根除，我们需要从脊髓灰质炎控制计划转向脊髓灰质炎根除计划。这就需要建立急性弛缓性麻痹（AFP）监测计划，并改善脊髓灰质炎疫苗的接种工作。所有患有AFP的儿童（包括疑似吉兰-巴雷综合征的儿童）都应进行粪便培养检查，以排除脊髓灰质炎。需要加强基层医疗服务，以便所有地区的所有当局都能实现口服脊髓灰质炎疫苗接种率超过90%。需要开展疫情应对活动。需要考虑全国免疫日和查漏补种活动。
