Resurgence of Vaccine-Preventable Diseases in Venezuela as a Regional Public Health Threat in the Americas

被引：76

作者：

Paniz-Mondolfi, Alberto E. ^{[1
,2
]}

Tami, Adriana ^{[3
,4
]}

Grillet, Maria E. ^{[5
]}

Marquez, Marilianna ^{[1
,2
,6
]}

Hernandez-Villena, Juan ^{[5
]}

Escalona-Rodriguez, Maria A. ^{[1
,2
]}

Blohm, Gabriela M. ^{[1
,2
,7
]}

Mejias, Isis ^{[2
,8
]}

Urbina-Medina, Huniades ^{[9
]}

Risquez, Alejandro ^{[5
]}

Castro, Julio ^{[10
]}

Carvajal, Ana ^{[10
]}

Walter, Carlos ^{[10
]}

Lopez, Maria G. ^{[11
]}

Schwabl, Philipp ^{[12
]}

Hernandez-Castro, Luis ^{[12
]}

Miles, Michael A. ^{[13
]}

Hotez, Peter J.

Lednicky, John ^{[7
]}

Glenn Morris Jr, J. ^{[7
]}

Crainey, James ^{[14
]}

Luz, Sergio ^{[14
]}

Ramirez, Juan D. ^{[15
]}

Sordillo, Emilia ^{[16
]}

Llewellyn, Martin ^{[17
]}

Canache, Merari ^{[12
,17
]}

Araque, Maria ^{[18
]}

Oletta, Jose ^{[10
]}

机构：

[1] Inst Invest Biomed IDB, Clin IDB Cabudare, Cabudare, Venezuela

[2] Venezuelan Sci Incubator, Barquisimeto, Venezuela

[3] Univ Groningen, Univ Med Ctr Groningen, Groningen, Netherlands

[4] Univ Carabobo, Fac Ciencias Salud, Valencia, Venezuela

[5] Univ Cent Venezuela, Caracas, Venezuela

[6] Univ Ctr Occident Lisandro Alvarado, Barquisimeto, Venezuela

[7] Univ Florida, Gainesville, FL USA

[8] Rotary Int, Houston, TX USA

[9] Soc Venezolana Puericultura & Pediat, Caracas, Venezuela

[10] Soc Venezolana Salud Publ, Red Defendamos Epidemiol Nacl, Caracas, Venezuela

[11] Soc Venezolana Infectol, Caracas, Venezuela

[12] Univ Glasgow, Glasgow, Lanark, Scotland

[13] London Sch Hyg & Trop Med, London, England

[14] Inst Leonidas & Maria Deane FIOCRUZ, Manaus, Amazonas, Brazil

[15] Univ Rosario, Bogota, Colombia

[16] Mt Sinai St Luke, New York, NY USA

[17] Hosp Ninos Jose Manuel de los Rios, Caracas, Venezuela

[18] Univ Los Andes, Merida, Venezuela

来源：

EMERGING INFECTIOUS DISEASES | 2019年 / 25卷 / 04期

关键词：

MEASLES OUTBREAK; ELIMINATION;

D O I：

10.3201/eid2504.181305

中图分类号：

R392 [医学免疫学]; Q939.91 [免疫学];

学科分类号：

100102 ;

摘要：

Venezuela's tumbling economy and authoritarian rule have precipitated an unprecedented humanitarian crisis. Hyperinflation rates now exceed 45,000%, and Venezuela's health system is in free fall. The country is experiencing a massive exodus of biomedical scientists and qualified health care professionals. Reemergence of arthropod-borne and vaccine-preventable diseases has sparked serious epidemics that also affect neighboring countries. In this article, we discuss the ongoing epidemics of measles and diphtheria in Venezuela and their disproportionate impact on indigenous populations. We also discuss the potential for reemergence of poliomyelitis and conclude that action to halt the spread of vaccine-preventable diseases within Venezuela is a matter of urgency for the country and the region. We further provide specific recommendations for addressing this crisis.

引用

页码：625 / 632

页数：8

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