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首页> 外文期刊>Vaccine >Building on the success of the Expanded Programme on Immunization: enhancing the focus on disease prevention and control.
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Building on the success of the Expanded Programme on Immunization: enhancing the focus on disease prevention and control.

机译：在扩大免疫规划成功的基础上：加强对疾病预防和控制的关注。

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The Expanded Programme on Immunization (EPI) has succeeded in establishing a vaccine delivery system in all low and middle income (LMI) countries. Because EPI has focused on immunization delivery, its major outcome is measured in many countries only as vaccine coverage, not as disease reduction, the real goal of EPI. Monitoring disease reduction requires real-time case-based disease surveillance and appropriate interventions, for which a functional public health infrastructure is needed. If the highest priority for assessing impact of EPI shifts to disease prevention and control from vaccine coverage, the programme may be transformed to one of control of childhood communicable diseases (CCCD), with the potential of expanding the range of diseases of children and adults for control and of integrating all other current vertical (single disease) control efforts with it. EPI provides the essential platform on which CCCD can be built to create a public health infrastructure.Digital Object Identifier http://dx.doi.org/10.1016/j.vaccine.2011.08.100
机译：扩大免疫规划（EPI）已成功在所有中低收入（LMI）国家建立了疫苗输送系统。由于EPI专注于免疫接种，因此在许多国家/地区，其主要成果仅以疫苗覆盖率衡量，而没有以减少疾病（即EPI的真正目标）衡量。监测疾病的减少需要基于病例的实时疾病监测和适当的干预措施，为此需要功能性的公共卫生基础设施。如果评估EPI影响的最优先事项从疫苗覆盖转向疾病预防和控制，则该计划可能会转变为控制儿童传染病（CCCD）之一，并有可能扩大儿童和成人的疾病范围控制，以及与之结合的所有其他当前垂直（单一疾病）控制工作。 EPI提供了构建CCCD来创建公共卫生基础设施的基本平台。数字对象标识符http://dx.doi.org/10.1016/j.vaccine.2011.08.100

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