The Israeli public health response to wild poliovirus importation

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• 作者：Ehud Kaliner ; MD^a ; ^&dagger ; ; Dr Eran Kopel ; MD^a ; ^b ; ^&dagger ; ; ^{eran.kopel@mail.huji.ac.il" class="auth_mail" title="E-mail the corresponding author} ; Emilia Anis ; MD^a ; ^b ; ^c ; Prof Ella Mendelson ; PhD^d ; ^f ; Prof Jacob Moran-Gilad ; MD^a ; ^e ; Prof Lester M Shulman ; PhD^d ; ^f ; Shepherd R Singer ; MD^a ; ^b ; Yossi Manor ; Mgr^d ; Prof Eli Somekh ; MD^f ; ^g ; Prof Shmuel Rishpon ; MD^h ; ⁱ ; Prof Alex Leventhal ; MD^j ; Lisa Rubin ; MD^a ; ⁱ ; Diana Tasher ; MD^f ; ^g ; Mira Honovich ; MPH^a ; Larisa Moerman ; MD^a ; ^b ; Prof Tamy Shohat ; MD^f ; ^k ; Ravit Bassal ; PhD^f ; ^k ; Danit Sofer ; PhD^d ; Michael Gdalevich ; MD^e ; ^l ; Boaz Lev ; MD^j ; Prof Ronni Gamzu ; PhD^f ; ^j ; Prof Itamar Grotto ; PhD^a ; ^e
• 刊名：The Lancet Infectious Diseases
• 出版年：2015
• 出版时间：October 2015
• 年：2015
• 卷：15
• 期：10
• 页码：1236-1242
• 全文大小：360 K

文摘

In 2013, a silent wild poliovirus type 1 importation and sustained transmission event occurred in southern Israel. With the aim of preventing clinical poliomyelitis and ensuring virus re-elimination, the public health response to the importation event included intensification of clinical and environmental surveillance activities, enhancement of vaccine coverage, and supplemental immunisation with a bivalent oral polio vaccine against wild poliovirus types 1 and 3. A national campaign launched in August, 2013, resulted in vaccination of 943鈥?87 children younger than 10 years (79% of the eligible target population). Expanded environmental surveillance (roughly 80% population coverage) documented a gradual disappearance of wild poliovirus type 1 in the country from September, 2013, to April, 2014. No paralytic poliomyelitis case was detected. A prompt extensive and coordinated national public health response, implemented on the basis of evidence-based decision making, successfully contained this serious importation and sustained transmission event of wild poliovirus to Israel. On April 28, 2015, WHO officially declared Israel as a polio-free country.