黄热病--老对手,新发展。

IF 1.9 4区 医学 Q2 NURSING Australian Journal of Rural Health Pub Date : 2024-03-20 DOI:10.1111/ajr.13101
Emily Grahn MPHTM, Jacqueline Picard MSc, Lars Henning PhD
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引用次数: 0

摘要

简介黄热病是由 RNA 黄病毒引起的。免疫接种与病媒控制相结合,是控制和消灭黄热病的首要任务:本叙述性综述描述了黄热病疫苗接种对澳大利亚北部卫生从业人员的影响和重要性:设计:回顾并介绍部分关键政策、研究和医疗指南:过去十年中,非洲和南美洲爆发了与病媒传播有关的大规模黄热病疫情,增加了病毒在国际上传播的风险。流动人口,如旅行者或移徙工人,仍有感染黄热病的风险。质量保证,包括黄热病中心认证和减少虚假黄热病疫苗接种文件的举措,在过去几年中得到了发展。在疫情爆发的情况下,分次接种黄热病疫苗可提供一年的保护,但仍需进一步研究:讨论:尽管澳大利亚没有黄热病,但由于澳大利亚北部存在有能力的伊蚊病媒,黄热病可能会由病毒感染者传播。除监测和病媒控制外,健康教育和黄热病疫苗接种仍是最佳防线。在疫情爆发时,通过分次给药的应对措施可有效控制病毒:结论:澳大利亚北部的医疗保健提供者应了解黄热病的风险及其在澳大利亚北部的传播,并能在必要时与其客户讨论疫苗接种情况。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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Yellow fever – An old foe with new developments

Introduction

Yellow fever is caused by an RNA flavivirus. Immunisation in conjunction with vector control is at the forefront of yellow fever control and elimination.

Objective

This narrative review describes the impact and importance of yellow fever vaccinations for northern Australian health practitioners.

Design

Selected key policies, studies and medical guidelines are reviewed and presented.

Finding

Large yellow fever outbreaks, associated with vector spread, have occurred in the last decade in Africa and South America, increasing the risk of international spread of the virus. Mobile populations, like travellers or migrant workers, continue to be at risk of yellow fever. Quality assurance, including yellow fever centre accreditation and initiatives to decrease fraudulent yellow fever vaccination documentation, has evolved in the past few years. Fractional dosing of yellow fever vaccines has been shown to provide protection for 1 year in outbreak scenarios, but further studies are needed.

Discussion

Although Australia is yellow fever-free, the disease could be introduced by viraemic persons as a competent Aedes mosquito vector is present in northern Australia. In addition to surveillance and vector control, health education and yellow fever vaccination remain the best lines of defence. In the event of an outbreak, a response via fractional dosing could prove to be effective in controlling the virus.

Conclusion

Health care providers in northern Australia should be aware of the risks of yellow fever and its introduction to northern Australia and be able to discuss vaccination status with their clients when needed.

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来源期刊
Australian Journal of Rural Health
Australian Journal of Rural Health 医学-公共卫生、环境卫生与职业卫生
CiteScore
2.30
自引率
16.70%
发文量
122
审稿时长
12 months
期刊介绍: The Australian Journal of Rural Health publishes articles in the field of rural health. It facilitates the formation of interdisciplinary networks, so that rural health professionals can form a cohesive group and work together for the advancement of rural practice, in all health disciplines. The Journal aims to establish a national and international reputation for the quality of its scholarly discourse and its value to rural health professionals. All articles, unless otherwise identified, are peer reviewed by at least two researchers expert in the field of the submitted paper.
期刊最新文献
How First Nations peoples living in the Torres Strait and Northern Peninsula Area describe and discuss social and emotional well-being. Growing the peer workforce in rural mental health and social and emotional well-being services: A scoping review of the literature. Understanding the professional factors that impact the retention of pathology workers in regional, rural and remote Australia. Issue Information Evaluation of nurse practitioners' extended scope of practice in a regional hospital emergency department in tropical Australia.
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