tailieunhanh - Báo cáo y học: "Measles vaccination in humanitarian emergencies: a review of recent practice"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài: Measles vaccination in humanitarian emergencies: a review of recent practice. | Grais et al. Conflict and Health 2011 5 21 http content 5 1 21 CONFLICT AND HEALTH RESEARCH Open Access Measles vaccination in humanitarian emergencies a review of recent practice 1 2 2 2 3 2 Rebecca F Grais Peter Strebel Peter Mala John Watson Robin Nandy and Michelle Gayer Abstract Background The health needs of children and adolescents in humanitarian emergencies are critical to the success of relief efforts and reduction in mortality. Measles has been one of the major causes of child deaths in humanitarian emergencies and further contributes to mortality by exacerbating malnutrition and vitamin A deficiency. Here we review measles vaccination activities in humanitarian emergencies as documented in published literature. Our main interest was to review the available evidence focusing on the target age range for mass vaccination campaigns either in response to a humanitarian emergency or in response to an outbreak of measles in a humanitarian context to determine whether the current guidance required revision based on recent experience. Methods We searched the published literature for articles published from January 1 1998 to January 1 2010 reporting on measles in emergencies. As definitions and concepts of emergencies vary and have changed over time we chose to consider any context where an application for either a Consolidated Appeals Process or a Flash Appeal to the UN Central Emergency Revolving Fund CERF occurred during the period examined. We included publications from countries irrespective of their progress in measles control as humanitarian emergencies may occur in any of these contexts and as such guidance applies irrespective of measles control goals. Results Of the few well-documented epidemic descriptions in humanitarian emergencies the age range of cases is not limited to under 5 year olds. Combining all data both from preventive and outbreak response interventions about 59 of cases in reports with sufficient data reviewed .