Building on the success of the Expanded Programme on Immunization: enhancing the focus on disease prevention and control.
Building on the success of the Expanded Programme on Immunization: enhancing the focus on disease prevention and control.
复制标题
以扩大免疫规划的成功为基础：加强对疾病预防和控制的关注。
DOI：
10.1016/j.vaccine.2011.08.100
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发表时间：
2011
期刊：
影响因子：
5.5
通讯作者：
W. Orenstein
中科院分区：
文献类型：
--
作者：
T. John;Stanley A Plotkin;W. Orenstein
扩大免疫方案已成功地在所有低收入和中等收入国家建立了疫苗供应系统。由于扩大免疫方案的重点是提供免疫服务，在许多国家，其主要成果仅以疫苗覆盖率来衡量，而不是以减少疾病这一扩大免疫方案的真实的目标来衡量。监测疾病减少情况需要基于病例的实时疾病监测和适当的干预措施，为此需要一个功能正常的公共卫生基础设施。如果评估扩大免疫方案影响的最高优先事项从疫苗覆盖率转向疾病预防和控制，该方案可能会转变为儿童传染病控制方案，有可能扩大儿童和成人疾病的控制范围，扩大免疫方案提供了一个重要的平台，在此基础上，可以建立CCCD，以建立公共卫生基础设施。
The Expanded Programme on Immunization (EPI) has succeeded in establishing a vaccine delivery system in all low and middle income (LMI) countries. Because EPI has focused on immunization delivery, its major outcome is measured in many countries only as vaccine coverage, not as disease reduction, the real goal of EPI. Monitoring disease reduction requires real-time case-based disease surveillance and appropriate interventions, for which a functional public health infrastructure is needed. If the highest priority for assessing impact of EPI shifts to disease prevention and control from vaccine coverage, the programme may be transformed to one of control of childhood communicable diseases (CCCD), with the potential of expanding the range of diseases of children and adults for control and of integrating all other current vertical (single disease) control efforts with it. EPI provides the essential platform on which CCCD can be built to create a public health infrastructure.