麻疹的死灰复燃——Covid时代的悲剧性残余

Mangala Belur, K. Srivastava, AKHILA B S, Hetal K Rathod
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摘要

麻疹是一种高度传染性的严重病毒性疾病,主要影响5岁以下儿童,病死率在发达国家为0.1%,在难民社区高达30%。截至2022年11月初,提交给世卫组织的最新月度统计数据显示,印度是全球病例数最多的10个国家之一(9500例)。最重要的因素是COVID大流行,它对主要方法产生了不利影响,包括卫生服务中断、供应链中断和常规免疫接种——许多国家暂停或推迟了麻疹疫苗接种运动,以避免COVID-19的进一步传播,导致大流行开始后几个月内MR疫苗的消费量下降。其他影响因素可能包括移民社区的迅速发展、错过的疫苗接种剂量和营养不良的激增。有必要紧急解决卫生保健设施的基本需求,填补常规免疫及其监测系统的空白,以便在这个大流行后时代遏制麻疹疫情。
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The Resurgence of Measles - A Tragic Residue of Covid Epoch
Measles is a highly contagious, serious viral disease mainly affecting children under the age of five with a case fatality rate ranging from 0.1% 1in developed world to as much as 30% among refugee communities. As of the beginning of November 2022, the most current monthly statistics submitted to the WHO indicated that India was one of the top 10 nations responsible for the highest number of cases (9500 cases) worldwide . The most significant factor was COVID pandemic that had detrimental impact on the main approach including nterruption of health services, supply-chain disruption and routine immunization-measles vaccination campaigns being paused or postponed in many countries to avert further spread of COVID-19 that lead to fall in consumption of MR vaccine in a span of few months after pandemic started. Other contributing factors might include burgeoning migrant community, missed doses of vaccination and malnutriton spike.There is a need  to urgently address the basic needs of health care facilities and to fill the gaps in routine immunization and its surveillance system to curb the measles outbreak in this post pandemic era.
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