Reduction of vaccine-preventable communicable diseases in a Bedouin population: summary of a community-based intervention programme

被引:20
作者
Belmaker, I
Dukhan, L
Elgrici, M
Yosef, Y
Shahar-Rotberg, L
机构
[1] Minist Hlth, Reg Hlth Off, So Reg, Beer Sheva, Israel
[2] Reg Minist Hlth, Dept Epidemiol Infect Dis, Beer Sheva, Israel
[3] Reg Minist Hlth, Publ Hlth Nursing Serv, Beer Sheva, Israel
关键词
D O I
10.1016/S0140-6736(06)68425-0
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Background The Bedouin Arab population of southern Israel is in transition from a semi-nomadic lifestyle to permanent settlement, with many characteristics of a third-world population. A major outbreak of measles in the winter of 1990-91, with an incidence of 415.6 per 100 000 and a case fatality rate of 2.2 % among the Bedouin, led which recommended an intervention programme. We report on the to the establishment of a national committee, effect of the programme implementation on the reduction of vaccine-preventable communicable diseases in a Bedouin Arab population. Methods We compared immunisation coverage and incidence of reportable vaccine-preventable communicable diseases before and after implementation of the intervention programme. Findings Implementation of the intervention programme was associated with a marked increase in immunisation coverage, from 53% for first measles immunisation among those born in 1988, and reaching 2 years of age in 1990 at the start of the outbreak, to 90% at age 2 years among those born in 2001. We noted a decrease in all vaccine-preventable communicable diseases, except for pertussis, during this period. Interpretation The implementation of a targeted programme to improve immunisation coverage, and other concomitant changes in health-care delivery, was temporally associated with reduction of vaccine-preventable communicable diseases in a population of Bedouin Arabs in Israel who are living in semi-nomadic conditions. The success of the programme could be applicable to semi-nomadic populations living in other areas of the middle east.
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页码:987 / 991
页数:5
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