By Institute of Medicine, Board on Global Health, Forum on Emerging Infections, Leslie A. Pray, Joshua Lederberg, Stacey Knobler
Because smallpox eradication, the technological know-how of eradication has replaced and with it, our definitions of what ailments are attainable to eliminate. although, eradication mustn't ever beget complacency. As has been realized from earlier regulate or eradication makes an attempt with a number of viral ailments, from yellow fever to influenza, unintended or intentional reintroduction is a true risk - person who may well strike anyplace and for which we have to be absolutely ready. the factors for assessing eradicability of polio, measles, and different viral infections were debated largely. With the removing and eradication of numerous viral ailments at the horizon, concerns surrounding the cessation of immunization actions develop into tremendously very important. so that it will larger comprehend the dynamics of ailment eradication and post-immunization rules, the Institute of medication discussion board on rising Infections hosted a two-day workshop (February 1-2, 2001) at the results of Viral illness Eradication. This publication explores the rules underlying the organic demanding situations, scientific interventions, the continued learn schedule, and operational concerns for post-immunization thoughts for vaccine-preventable viral illnesses, and highlights vital efforts which can facilitate clever selection making.
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Extra info for Considerations for Viral Disease Eradication
Surveillance should be simple and sensitive enough to detect cases of fever and rash disease in all situations where health workers suspect measles. This requires that trained epidemiologists investigate suspected cases, and blood specimens be collected for laboratory testing. This activity has been supported by the establishment of a network of laboratories dedicated to performing serological tests and virus isolation. The results from the measles campaign have been very successful. Measles transmission is believed to be interrupted in most countries of the Americas.
Cases of smallpox continued to occur in areas of the world reporting very high immunization coverage. Therefore, in 1967 the focus of the program switched from vaccination alone to TABLE 1-1 Major Attempts at Disease Eradication Year Program Leader Program (Location) 1801 1911 1915 1950 1954 1955 1958 1985 1986 1988 1994 Edward Jenner William Gorgas Rockefeller Commission Fred Soper WHO WHO Viktor Zhdanov PAHO WHO WHO PAHO Smallpox (Global) Yellow Fever (Americas) Yellow Fever (Global) Smallpox (Americas) Yaws (Regional) Malaria (Global) Smallpox (Global) Polio (Americas) Guinea Worm (Global) Polio (Global) Measles (Americas) 25 INTRODUCTION a two-pronged effort combining vaccination with surveillance and containment.
Effective regional networks will require adequate funding, designation of an in-charge organization and individual, and development of a regional response plan. 19 SUMMARY AND ASSESSMENT The consequences of a disease outbreak in a post-eradication era will entail more than public health and security implications: the psychological response—particularly fear and panic—could hinder intervention and control. The media, government, and medical communities will play large roles in determining how the public will respond to an outbreak.