Poliomyelitis Eradication: Progress, Challenges for the End Game, and Preparation for the Post-Eradication Era - 03/09/11
Riassunto |
In 1988, the World Health Assembly resolved to eradicate polio globally by the year 2000.48 The global resolution was influenced largely by progress reported from the regional polio elimination initiative in the Americas. Begun in 1985, the initiative eliminated indigenous poliovirus by 1991, and polio-free status was certified by an independent commission in 1994.5 Responding to the eradication mandate from the global community, a coalition that included the World Health Organization (WHO), the United Nations Children's Fund (UNICEF), Rotary International, the Centers for Disease Control and Prevention (CDC), and other bilateral and multilateral agencies committed to make polio eradication a reality.
With eradication approaching, issues potentially affecting when and how vaccination against poliovirus can be stopped become increasingly important both from a public health viewpoint and from a strategic industrial perspective, because poliovirus vaccine manufacturers need sufficient lead time to respond to vaccination policy changes. This article examines progress achieved toward polio eradication, discusses remaining challenges to conclude this task successfully, and highlights issues to be addressed as part of the “end game” of polio eradication.
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| Address reprint requests to Roland W. Sutter, MD, MPH & TM Information Services (E34), National Immunization Program, Centers for Disease Control and Prevention, Atlanta, Georgia 30333 |
Vol 15 - N° 1
P. 41-64 - marzo 2001 Ritorno al numeroBenvenuto su EM|consulte, il riferimento dei professionisti della salute.
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