Progress toward measles elimination--Japan, 1999-2008.
Progress toward measles elimination--Japan, 1999-2008.
复制标题
消除麻疹的进展——日本，1999-2008 年。
DOI：
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发表时间：
2008
期刊：
影响因子：
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通讯作者：
H. Evans
中科院分区：
文献类型：
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作者：
A. A. Koneff;D. V. Van Dyke;H. Evans
2005年，世界卫生组织（WHO）西太平洋区域（WPR）区域委员会设定了2012年在所有WPR成员国消除麻疹的目标日期。在日本，麻疹控制策略包括 1) 2001 年开展的全国性公众宣传活动，以促进及时接种第一剂麻疹疫苗 (MCV1)，并在 12 个月或之后接种第一剂含麻疹疫苗 (MCV1)；2) 2006 年根据建议的 WPR 麻疹消除策略采用 2 剂 MCV 计划，并在 5-6 岁时接种第二剂 (MCV2)。然而，2007-2008年，日本爆发了大规模麻疹疫情，导致麻疹病例从日本输出到已实现麻疹消除的国家。本报告介绍了 1999--2008 年日本麻疹的流行病学情况，以及 2007 年 12 月批准的国家麻疹消除计划，其中包括免疫策略、基于病例的麻疹监测和监测的建议，以确保到 2012 年消除麻疹。麻疹在日本仍然是地方性流行病，大多数病例发生在入学前的儿童中，但 2007 年和 2008 年除外，当时该计划转向了观察年龄较大组。随着国家麻疹消除计划的实施，日本有望在实现 WPR 麻疹消除目标方面取得进展。
In 2005, the Regional Committee of the World Health Organization (WHO) Western Pacific Region (WPR) set a target date of 2012 for measles elimination in all WPR member states. In Japan, measles control strategies have included 1) a nationwide public awareness campaign implemented in 2001 to promote timely vaccination with the first dose of measles-containing vaccine (MCV1) administered on or after age 12 months, and 2) a 2-dose MCV schedule with the second dose (MCV2) administered at age 5-6 years, adopted in 2006 in accordance with the recommended WPR measles elimination strategy. However, during 2007-2008, Japan experienced a large measles outbreak, which resulted in exportation of measles cases from Japan into countries where measles elimination had been achieved. This report describes the epidemiology of measles in Japan during 1999--2008 and approval of a National Measles Elimination Plan in December 2007 that includes recommendations for immunization strategies, case-based measles surveillance, and monitoring to ensure elimination of measles by 2012. Measles continues to be endemic in Japan, with most cases occurring in children before school entry, except for 2007 and 2008, when a shift to an older age group was observed. With implementation of the National Measles Elimination Plan, Japan is expected to make progress toward achieving the WPR measles elimination goal.