Polio eradication initiative in Africa: influence on other infectious disease surveillance development
Polio eradication initiative in Africa: influence on other infectious disease surveillance development
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DOI：
10.1186/1471-2458-2-27
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发表时间：
2002-12-27
影响因子：
4.5
通讯作者：
Otten, M
中科院分区：
文献类型：
--
作者：
Nsubuga, P;McDonnell, S;Otten, M
背景：世界卫生组织(WHO)和合作伙伴正在合作根除脊髓灰质炎。为监测进展情况，各国对急性迟缓性麻痹(AFP)进行监测。世卫组织非洲区域办事处(世卫组织非洲办事处)和S大学疾病控制和预防中心也参与加强非洲的传染病监测和应对。我们评估了根除脊髓灰质炎计划的资源是否用于非洲其他传染病的监测和应对。方法：在1999年10月至2000年3月期间，我们编制了一份调查问卷，至少向38个定期向世界卫生组织报告脊髓灰质炎活动的国家的一名关键信息者发放了调查问卷。主要信息者包括世卫组织非洲工作人员和卫生部人员。结果：38个国家中有32个国家(84%)作出了答复。在32个国家中，31个(97%)指定了AFP监测官员，25个(78%)将AFP资源用于监测和应对其他传染病。在28个国家(87%)，AFP项目工作人员联合检测AFP和其他传染病。14个国家(44%)使用AFP实验室标本运输系统运输标本，以确认其他传染病暴发。大多数充分开展急性脊髓灰质炎监测的国家(即非脊髓灰质炎急性弛缓率=1/100,000岁儿童)
Background: The World Health Organization (WHO) and partners are collaborating to eradicate poliomyelitis. To monitor progress, countries perform surveillance for acute flaccid paralysis (AFP). The WHO African Regional Office (WHO-AFRO) and the U. S Centers for Disease Control and Prevention are also involved in strengthening infectious disease surveillance and response in Africa. We assessed whether polio-eradication initiative resources are used in the surveillance for and response to other infectious diseases in Africa.Methods: During October 1999-March 2000, we developed and administered a survey questionnaire to at least one key informant from the 38 countries that regularly report on polio activities to WHO. The key informants included WHO-AFRO staff assigned to the countries and Ministry of Health personnel.Results: We obtained responses from 32 (84%) of the 38 countries. Thirty-one (97%) of the 32 countries had designated surveillance officers for AFP surveillance, and 25 (78%) used the AFP resources for the surveillance and response to other infectious diseases. In 28 (87%) countries, AFP program staff combined detection for AFP and other infectious diseases. Fourteen countries (44%) had used the AFP laboratory specimen transportation system to transport specimens to confirm other infectious disease outbreaks. The majority of the countries that performed AFP surveillance adequately (i.e., non polio AFP rate=1/100,000 children aged