[西班牙根除脊髓灰质炎:过去十年发生了什么?]

Revista espanola de salud publica Pub Date : 2024-03-27
Pablo Estrella-Porter, Ana Fernández Dueñas, Carmen Olmedo Lucerón, Elena Cantero Gudino, Aurora Limia Sánchez
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摘要

在西班牙启动脊髓灰质炎疫苗接种运动 60 周年之际,我们强调了在实现疾病控制方面的重要里程碑。从 20 世纪 60 年代每年超过 2000 例的发病率,到 1988 年以来持续无脊髓灰质炎野病毒 (WPV) 出现。尽管在 COVID-19 大流行之初,脊髓灰质炎疫苗接种率受到了负面影响,但后来逐渐恢复,2022 年初级疫苗接种率达到 98.2%。在过去的十年中,已确定了维持消除脊髓灰质炎目标的两个基本要素,这也加强了维持高疫苗接种覆盖率的重要性:强大的流行病学监测系统和对警报的快速反应,以保护易感人群并防止病毒再次传播。为了实现根除目标,必须阻断国际传播,保持持续的高质量监测,并在不同层面进行有效协调,以应对任何发现的野病毒或疫苗衍生病毒。本文旨在全面介绍西班牙根除脊髓灰质炎的情况,重点关注过去十年发生的重要事件以及当前和未来面临的挑战。
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[Eradication of poliomyelitis in Spain: What has happened in the last decade?]

On the 60th anniversary of the initiation of the polio vaccination campaign in Spain, the significant milestone in achieving disease control is highlighted. There has been a shift from an incidence of over 2,000 yearly cases in the 1960s to a sustained absence of wild poliovirus (WPV) since 1988. Despite the observed negative impact on polio vaccination coverage at the onset of the COVID-19 pandemic, these rates gradually recovered, reaching 98.2% in primary vaccination in 2022. Over the past decade, two essential elements have been identified to maintain the goal of polio elimination and that reinforces the importance of sustaining high vaccination coverage: robust epidemiological surveillance systems and a swift response to alerts to protect the vulnerable population and prevent virus reintroduction. In order to achieve eradication, it is crucial to interrupt international transmission and maintain continuous high-quality surveillance and effective coordination across different levels in response to any detection of PV, wild or vaccine derived. This article aimed to provide a comprehensive view of the polio eradication situation in Spain, focusing on the key events that occurred in the last decade and the present and future challenges.

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