2010-2020 年尼日利亚博尔诺州和约贝州地方政府辖区(LGAs)无障碍状况的历史重构。

IF 2.1 4区 医学 Q2 OPHTHALMOLOGY Ophthalmologica Pub Date : 2023-07-14 eCollection Date: 2023-01-01 DOI:10.11604/pamj.supp.2023.45.2.39332
Joseph Che Forbi, Melton Sundu Musa, Musa Salawu, Jibrin Manu Idris, Ahmed Ibrahim Ba'aba, Jeff Higgins, Audu Idowu Musa, Bamusa Bashir, Aliyu Shettima, Nnamdi Njeakor, Iheanyichukwu Uzoma, Hyeni Mshelia, Gatei Wa Nganda, Kabiru Ibrahim Mohammed, Idriss Mohammed Bomoi, Umar Chiroma, Stephanie Diane Kovacs, Oladayo Biya, Ndadilnasiya Endie Waziri, Muyi Aina, Usman Saidu Adamu, Faisal Shuaib, Omotayo Bolu, Richard Franka, Eric Wiesen
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引用次数: 0

摘要

导言:最终于 2016 年检测到脊髓灰质炎野病毒 (WPV) 传播,但 2011 年后在尼日利亚东北部博尔诺州和约贝州的安全受损地区仍未检测到,这些地区因武装叛乱而无法进入。不同的无法进入程度使不同年龄的儿童无法接种方法:为了评估安全受损地区的无法进入程度,我们从相关的脊髓灰质炎根除工作人员那里获得了 2020 年的经验性历史数据,这些数据按季度和年度统计,时间跨度为 2010-2020 年。我们将通过召回进入免疫接种地区的程度与疫苗接种人员追踪的地理空间数据进行了比较。从卫星图像中提取了一段时间内安全受损地区的人口估计数。我们将工作人员提供的历史接种数据与跟踪数据和人口估计值进行了比较。结果:2010-2020 年期间,接种情况各不相同,2014-2016 年期间,无法接种的情况达到高峰。我们观察到,历史回忆数据中的不可及性与同期卫星图像中的人口迁移之间存在并发模式,这增强了我们对回忆数据质量的信心。结论:工作人员回忆的不可及性与疫苗接种者追踪数据和卫星图像中的人口迁移数据一致。尽管随着时间的推移,无法进入的情况会发生变化,但在允许进入的情况下,还是实施了创新的免疫接种措施,并启动了监测措施,以寻找脊髓灰质炎病毒的传播途径。在某些地区,随着居民的逃离和军队的解救,这些举措导致剩余居民中未接种疫苗的人数大幅减少。
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Historical reconstruction of inaccessibility status in Local Government Areas (LGAs) of Borno and Yobe States, Nigeria, 2010-2020.

Introduction: ultimately detected in 2016, wild poliovirus (WPV) transmission continued undetected after 2011 in Northeast Nigeria Borno and Yobe States in security-compromised areas, inaccessible due to armed insurgency. Varying inaccessibility prevented children aged <5 years in these areas from polio vaccination interventions and surveillance, while massive population displacements occurred. We examined progress in access over time to provide data supporting a very low probability of undetected WPV circulation within remaining trapped populations after 2016.

Methods: to assess the extent of inaccessibility in security-compromised areas, we obtained empirical historical data in 2020 on a quarterly and annual basis from relevant polio eradication staff for the period 2010-2020. The extent of access to areas for immunization by recall was compared to geospatial data from vaccinator tracking. Population estimates over time in security-compromised areas were extracted from satellite imagery. We compared the historical access data from staff with tracking and population esimates.

Results: access varied during 2010-2020, with inaccessibility peaking during 2014-2016. We observed concurrent patterns between historical recalled data on inaccessibility and contemporaneous satellite imagery on population displacements, which increased confidence in the quality of recalled data.

Conclusion: staff-recalled access was consistent with vaccinator tracking and satellite imagery of population displacments. Despite variability in inaccessibility over time, innovative immunization initiatives were implemented as access allowed and surveillance initiatives were initiated to search for poliovirus transmission. Along with escape and liberation of residents by the military in some geographic areas, these initiatives resulted in a massive reduction in the size of the unvaccinated population remaining resident.

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来源期刊
Ophthalmologica
Ophthalmologica 医学-眼科学
CiteScore
5.10
自引率
3.80%
发文量
39
审稿时长
3 months
期刊介绍: Published since 1899, ''Ophthalmologica'' has become a frequently cited guide to international work in clinical and experimental ophthalmology. It contains a selection of patient-oriented contributions covering the etiology of eye diseases, diagnostic techniques, and advances in medical and surgical treatment. Straightforward, factual reporting provides both interesting and useful reading. In addition to original papers, ''Ophthalmologica'' features regularly timely reviews in an effort to keep the reader well informed and updated. The large international circulation of this journal reflects its importance.
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