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1996-02-27
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Document 0288
DOCN M9630288
TI Global immunization--a medical perspective.
DT 9603
AU Wright PF; Department of Pediatrics, Vanderbilt University, Nashville,
TN,; USA.
SO Soc Sci Med. 1995 Sep;41(5):609-16. Unique Identifier : AIDSLINE
MED/96049308
AB The global community is close to achieving universal childhood
immunization against a group of important childhood diseases--measles,
tuberculosis, diphtheria, pertussis, tetanus and polio. In addition,
polio has been targeted for eradication by the year 2000 and neonatal
tetanus for elimination by 1995. There are targeted reductions in
mortality and cases of measles by the same year. This paper addresses
the difficult issue of how optimally to integrate these public health
initiatives into local health care practices and beliefs. At the
workshop on Global Immunization and Culture I presented the perspective
of a physician who has worked with the Expanded Programme on
Immunization and has understanding at a global level of the logistics of
vaccine delivery. This paper serves as a counterpoint to others at the
workshop by raising the question of whether routine vaccine delivery and
special eradication efforts can be best carried out with a uniform,
technologically based approach rather than extensive adaptation of the
program to local conditions and beliefs. The reliance on a largely
technological approach to control of these childhood diseases which
occur in all societies independent of social behavior is contrasted with
efforts to control HIV infection in which social structure and practices
predict the occurrence of disease.
DE Acquired Immunodeficiency Syndrome/PREVENTION & CONTROL/ TRANSMISSION
Child Child, Preschool Communicable Disease Control/*TRENDS Delivery
of Health Care/TRENDS Developing Countries Health Services
Accessibility/TRENDS Human Immunization Programs/*TRENDS Infant
Infant, Newborn Knowledge, Attitudes, Practice *Medicine, Traditional
Patient Acceptance of Health Care United Nations *World Health
JOURNAL ARTICLE
SOURCE: National Library of Medicine. NOTICE: This material may be
protected by Copyright Law (Title 17, U.S.Code).