Cutts F T, Markowitz L E
Communicable Disease Epidemiology Unit, London School of Hygiene and Tropical Medicine, United Kingdom.
J Infect Dis. 1994 Nov;170 Suppl 1:S32-41. doi: 10.1093/infdis/170.supplement_1.s32.
The Expanded Programme on Immunization (EPI) of the World Health Organization has a global target of reducing measles incidence by 90% and mortality by 95% from pre-EPI levels by 1995. Both developed and developing countries that have given priority to measles control have substantially reduced measles morbidity and mortality, and some have come close to eliminating measles. A variety of vaccination schedules and strategies have been used, which reflect the differing program goals, health services infrastructure, and availability of resources in different countries. Failure to control measles has usually been due to a failure to implement planned strategies adequately. The highest priority in measles control is to assist countries, especially the lowest-income countries, to implement vaccination programs more effectively.
世界卫生组织的扩大免疫规划（EPI）设定了一个全球目标，即到1995年将麻疹发病率较EPI实施前的水平降低90%，将死亡率降低95%。重视麻疹控制的发达国家和发展中国家都已大幅降低了麻疹发病率和死亡率，有些国家已接近消除麻疹。各国采用了各种疫苗接种计划和策略，这反映了不同国家的计划目标、卫生服务基础设施以及资源可及性存在差异。未能控制住麻疹通常是由于未能充分实施既定策略。麻疹控制的首要任务是协助各国，尤其是低收入国家，更有效地实施疫苗接种计划。
