Lessons Learnt from Interregional and Interagency Collaboration in Polio Outbreak Response in the Horn of Africa.

Samuel Okiror, Brigitte Toure, Bob Davis, Rustum Hydarov, Bal Ram, Joseph Okeibunor, Chidiadi Nwogu
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引用次数: 1

Abstract

Following the outbreak of poliovirus in the countries in the Horn of Africa, Somalia, Kenya and Ethiopia, in two WHO regions, an outbreak response involving the WHO Africa and WHO East and Mediterranean Regions and partner agencies like the UNICEF in East and Southern African was developed. This paper documents response to polio virus outbreak in the Horn of Africa and the lessons learnt for the interregional and inter-agency collaboration on the response. This collaboration led to speedy interruption of the outbreak and within a period of one year the total virus load of 217 in 2013 was brought down to mere six. This resulted from collaborative planning and implementation of activities to boost the hitherto low immunity in the countries andimprove surveillance among others. A number of lesson were generated from the process. Some of the lessons is critical role such collaboration plays in ensuring simultaneous immunity boosting, information and resources sharing, among other. Some challenges were equally encountered, chiefly in the appropriation of authorities. In conclusion, however, one is safe to note that the collaboration was very fruitful given the timely interruption of transmission.

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非洲之角应对脊髓灰质炎疫情的区域间和机构间合作的经验教训。
在非洲之角、索马里、肯尼亚和埃塞俄比亚两个世卫组织区域的国家暴发脊髓灰质炎病毒之后,制定了涉及世卫组织非洲和世卫组织东部和地中海区域以及儿童基金会东部和南部非洲等伙伴机构的暴发应对措施。本文件记录了对非洲之角脊髓灰质炎病毒爆发的应对措施,以及在应对措施方面开展区域间和机构间合作的经验教训。这一合作导致疫情迅速中断,并在一年内将2013年217例的总病毒载量降至仅6例。这是由于合作规划和实施活动,以提高各国迄今为止较低的免疫力,并改善监测等。从这个过程中产生了许多经验教训。其中一些经验教训是这种合作在确保同时增强免疫力、共享信息和资源等方面发挥的关键作用。同样遇到了一些挑战,主要是在权力的挪用方面。然而,总而言之,我们可以肯定地指出,鉴于及时阻断了传播,这种合作非常富有成效。
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