老故事,新案例。病毒性传染病与儿童健康

YILDIZ CAMCIOGLU
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引用次数: 0

摘要

在 20 世纪,天花已造成 3-5 亿人死亡。1796 年,爱德华-詹纳(Edward Jenner)利用牛痘病变的材料为一名 8 岁男孩接种了天花疫苗,这是现代最早的免疫接种之一。1959 年,WHO(世界卫生组织)启动了消灭天花计划。到 1980 年,世卫组织宣布天花已被正式根除。由于猴痘病毒和天花病毒在基因和抗原上的相似性,自 20 世纪 80 年代起停止接种天花疫苗,导致对猴痘的交叉保护作用减弱。1916 年和 1952 年,美国爆发了两次大规模的脊髓灰质炎病毒疫情。该病毒每年导致 50 多万人死亡或瘫痪。脊髓灰质炎灭活疫苗(IPV,1955 年)和口服脊髓灰质炎病毒(OPV,1963 年)的引入使病例数下降了 99.99%。全球根除脊髓灰质炎倡议(GPEI)于 1988 年启动,除东地中海地区外,世界卫生组织六个地区中的五个已被证明不存在脊髓灰质炎病毒(WPV)。非洲已被宣布为无野生脊髓灰质炎病毒地区,但不幸的是,马拉维和莫桑比克发现了由巴基斯坦输入的野生病毒引起的麻痹病例。2022 年 10 月至 2023 年 2 月,东地中海和非洲地区爆发了疫苗衍生脊髓灰质炎病毒 2 型(cVDPV2)疫情。麻疹是传染性最强的传染病之一,需要很高的人群免疫力(95%)才能阻止传播。1963 年,麻疹疫苗问世。芬兰是第一个使用两剂麻疹疫苗根除麻疹的国家。2000 年,美洲地区被证实已经消灭了麻疹。COVID-19 大流行扰乱了全球疫苗接种活动。西方国家的疫苗接种率从 90% 降至 50%。2023 年,世卫组织欧洲地区 40 个成员国报告了 30 000 多例麻疹病例。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Old stories, new cases. Viral infectious diseases and children's health

During the 20th century, smallpox has produced between 300–and 500 million victims. In 1796, Edward Jenner conducted one of the first modern immunizations when he inoculated an 8-year-old boy using material from a cowpox lesion. In 1959, WHO (World Health Organization) launched the Smallpox Eradication Programme. By 1980, WHO declared smallpox officially eradicated. Due to genetic and antigenic similarities between the monkeypox and smallpox viruses, the cessation of smallpox vaccination since 1980′s contributed to the wanning of cross‐protection against monkeypox (mpox). Outbreaks of human mpox has spread across 110 countries.

In 1916 and 1952, two major poliovirus outbreaks took place in the USA. The virus killed or paralyzed over half a million people yearly. Introduction of the inactivated polio vaccine (IPV,1955) and oral polio virus (OPV,1963) led to decline in the number of cases by 99.99 %. The Global Polio Eradication Initiative (GPEI) was launched in 1988 and five of six WHO regions have been certified free of wild polio virus (WPV), except Eastern Mediterranean region. Africa had been declared WPV free, unfortunately cases of paralysis due to wild virus in Malawi and Mozambique were detected having been imported from Pakistan. Outbreaks of circulating Vaccine Derived Polio Virus type 2 (cVDPV2) have expanded in the Eastern Mediterranean and African Region from October 2022 to February 2023. Measles, being one of the most contagious infections, requires high population immunity (>95 %) to impede transmission. In 1963, a measles vaccine became available. Finland was the first country to eradicate measles by using the 2 dose-measles vaccines. The region of the Americas was verified to have eliminated measles in 2000. The COVID-19 pandemic disrupted global vaccination activities. Vaccination coverage has fallen from 90 % to 50 % in western countries. Over 30 000 measles cases were reported from 40 WHO European Region members in 2023.

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Global pediatrics
Global pediatrics Perinatology, Pediatrics and Child Health
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