An Overview of the Progress towards Achieving Global Polio Eradication
Notice bibliographique
Résumé
Background: Poliomyelitis is an infectious disease that causes irreversible paralysis in less than 1% of infected individuals. 1 Since 1988, the Global Polio Eradication Initiative was able to achieve significant progress towards the interruption of polio transmission. 2 However, the latest plan under Global Polio Eradication Initiative, known as the Polio Eradication and Endgame Strategic Plan, is still facing unprecedented challenges with the remaining cases in polio endemic countries. Such challenges are prominently faced in areas with regional instability and mass population displacements, resulting in polio outbreaks and re-importation due to low immunization coverage, and inadequate surveillance. 3,4 Methods: A comprehensive literature review was completed through different databases that included Global Health, Embase, Medline, Science Direct and Google Scholar for the following key terms: ‘polio*’, ‘vaccin*’, ‘Afghanistan’, ’Pakistan’, ‘import*’, ‘refusal’, ‘outbreak’, ‘eradication’, ‘endgame ‘, ‘conflict’, ’risk’, ‘surveillance’, ‘spread’, and ‘challenge*’. A review search of published reports and archives from GPEI, CDC, WHO, UNICEF, End Polio Pakistan was also conducted and included as part of the assessment of recent progress with polio eradication. Discussion: There are remaining gaps towards achieving polio eradication, especially in endemic regions. A series of recommendations are proposed to overcome ongoing barriers involving the political, social, biological and financial aspects of polio campaigns. To overcome the setbacks that led to delaying previously set goals by GPEI, a more vigorous response, with an alteration from the current approach will be required to overcome ongoing challenges. The response involves an improved and expanded surveillance system through better monitoring, management, and timeliness. 5,6 In addition, better interventions are needed to address vaccine coverage, efficacy, safety, management, and supply, especially in regions with high risk of polio transmission and refusal rates in remaining endemic countries. 7,8 Conclusion: Through applying suggested recommendations, the current approach towards polio campaigns can be modified to achieve and sustain polio eradication . The rooms of improvement can assist in refining immunization coverage, enhancing vaccine administration and effectiveness, avoiding delays in outbreak response, and providing reliable feedback on the progress of GPEI. These extensive efforts will not only improve the progress towards achieving polio eradication, but would also serve as a tool to limit the burden of other communicable diseases.
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction distillée sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.
Scores Codex et Gemma par catégorie
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,001 | 0,000 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,001 | 0,000 |
| Bibliométrie | 0,000 | 0,001 |
| Études des sciences et des technologies | 0,000 | 0,000 |
| Communication savante | 0,000 | 0,000 |
| Science ouverte | 0,000 | 0,000 |
| Intégrité de la recherche | 0,000 | 0,000 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,000 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule tête enseignante, pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».