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Good practices and challenges in addressing poliomyelitis and measles in the European Union
Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Epidemiology and Global Health.ORCID iD: 0000-0003-1332-4138
Umeå University, Faculty of Science and Technology, European CBRNE Center.
Umeå University, Faculty of Medicine, Department of Clinical Microbiology.
Umeå University, Faculty of Science and Technology, European CBRNE Center.
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2018 (English)In: European Journal of Public Health, ISSN 1101-1262, E-ISSN 1464-360X, Vol. 28, no 4, p. 730-734Article in journal (Refereed) Published
Abstract [en]

Background: All European Union (EU) and European Economic Area (EEA) Member States have pledged to ensure political commitment towards sustaining the region's poliomyelitis-free status and eliminating measles. However, there remain significant gaps between policy and practice in many countries. This article reports on an assessment conducted for the European Commission that aimed to support improvements in preparedness and response to poliomyelitis and measles in Europe.

Methods: A documentary review was complemented by qualitative interviews with professionals working in International and EU agencies, and in at-risk or recently affected EU/EEA Member States (six each for poliomyelitis and measles). Twenty-six interviews were conducted on poliomyelitis and 24 on measles; the data were subjected to thematic analysis. Preliminary findings were then discussed at a Consensus Workshop with 22 of the interviewees and eight other experts.

Results: Generic or disease-specific plans exist in the participating countries and cross-border communications during outbreaks were generally reported as satisfactory. However, surveillance systems are of uneven quality, and clinical expertise for the two diseases is limited by a lack of experience. Serious breaches of protocol have recently been reported from companies producing poliomyelitis vaccines, and vaccine coverage rates for both diseases were also sub-optimal. A set of suggested good practices to address these and other challenges is presented.

Conclusions: Poliomyelitis and measles should be brought fully onto the policy agendas of all EU/EEA Member States, and adequate resources provided to address them. Each country must abide by the relevant commitments that they have already made.

Place, publisher, year, edition, pages
Oxford University Press, 2018. Vol. 28, no 4, p. 730-734
National Category
Public Health, Global Health, Social Medicine and Epidemiology Infectious Medicine
Identifiers
URN: urn:nbn:se:umu:diva-150590DOI: 10.1093/eurpub/cky056ISI: 000440944400026PubMedID: 29659793OAI: oai:DiVA.org:umu-150590DiVA, id: diva2:1238393
Available from: 2018-08-13 Created: 2018-08-13 Last updated: 2018-09-11Bibliographically approved

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Kinsman, JohnStöven, SvenjaElgh, Fredrik

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Epidemiology and Global HealthEuropean CBRNE CenterDepartment of Clinical Microbiology
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European Journal of Public Health
Public Health, Global Health, Social Medicine and EpidemiologyInfectious Medicine

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