scholarly journals Measuring vaccination coverage better will help achieve disease control

2017 ◽  
Vol 9 (3) ◽  
pp. 142-144
Author(s):  
Michael Edelstein
Keyword(s):  
Disease Control ◽  
Vaccination Coverage ◽  
Achieve Disease Control

scholarly journals Failure to achieve disease control in acromegaly: cause analysis by a registry-based survey

2015 ◽  
Vol 172 (4) ◽  
pp. 351-356 ◽  
Author(s):  
Christof Schöfl ◽  
Martin Grussendorf ◽  
Jürgen Honegger ◽  
Anke Tönjes ◽  
Daniel Thyroke-Gronostay ◽  
...  
Keyword(s):  
Disease Control ◽  
Treatment Options ◽  
Therapy Resistance ◽  
Recall Rate ◽  
Number Of Patients ◽  
Previously Treated ◽  
Therapeutic Recommendations ◽  
Design And Methods ◽  
Achieve Disease Control

ContextDisease control is a prime target in acromegaly treatment. This should be achievable in the vast majority of patients by available treatment options. For unknown reasons, however, a significant number of patients do not achieve disease control.ObjectiveTo investigate reasons for failure to achieve disease control in long-standing acromegaly.Design and methodsSurvey based on the German Acromegaly Registry database (1755 patients in 57 centres). Questionnaires were sent to 47 centres treating 178 patients with elevated disease markers (IGF1 and GH) at the last documented database visit out of 1528 patients with a diagnosis dated back ≥2 years. Thirty-three centres returned anonymised information for 120 patients (recall rate 67.4%).ResultsMedian age of the 120 patients (58 females) was 57 years (range 17–84). Ninety-four patients had at least one operation, 29 had received radiotherapy and 71 had been previously treated medically. Comorbidities were reported in 67 patients. In 61 patients, disease activity had been controlled since the last documented database visit, while 59 patients still had biochemically active disease. Reasons were patients' denial to escalate therapy (23.3%), non-compliance (20.6%), fluctuating insulin-like growth factor 1 (IGF-1) and growth hormone (GH) levels with normal values at previous visits (23.3%) and modifications in pharmacotherapy (15.1%). Therapy resistance (9.6%), drug side effects (4.1%) and economic considerations (4.1%) were rare reasons.ConclusionsMain reasons for long-standing active acromegaly were patients' lack of motivation to agree to therapeutic recommendations and non-compliance with medical therapy. Development of patient education programmes could improve long-term control and thus prognosis of acromegalic patients.

scholarly journals Findings from the initial Stepwise Approach to Rabies Elimination (SARE) Assessment in China, 2019

2021 ◽  
Vol 15 (3) ◽  
pp. e0009274
Author(s):  
Qiulan Chen ◽  
Xiaoyue Ma ◽  
Jeanette J. Rainey ◽  
Yu Li ◽  
Di Mu ◽  
...  
Keyword(s):  
Disease Control ◽  
Vaccination Coverage ◽  
Assessment Tool ◽  
Animal Health ◽  
The United States ◽  
Human Rabies ◽  
Post Exposure Prophylaxis ◽  
Stepwise Approach ◽  
Control And Prevention ◽  
Exposure Prophylaxis

In 2015, China and other member states of the United Nations adopted the goal of eliminating dog-mediated rabies by 2030. China has made substantial progress in reducing dog-mediated human rabies since peaking with more than 3,300 reported cases in 2007. To further improve coordination and planning, the Chinese Center for Disease Control and Prevention, in collaboration with the United States Centers for Disease Control and Prevention, conducted a Stepwise Approach towards Rabies Elimination (SARE) assessment in March 2019. Assessment goals included outlining progress and identifying activities critical for eliminating dog-mediated rabies. Participants representing national, provincial and local human and animal health sectors in China used the SARE assessment tool to answer 115 questions about the current dog-mediated rabies control and prevention programs in China. The established surveillance system for human rabies cases and availability of post-exposure prophylaxis were identified as strengths. Low dog vaccination coverage and limited laboratory confirmation of rabid dogs were identified gaps, resulting in an overall score of 1.5 on a scale of 0 to 5. Participants outlined steps to increase cross-sectoral information sharing, improve surveillance for dog rabies, increase dog vaccination coverage, and increase laboratory capacity to diagnose rabies at the provincial level. All assessment participants committed to strengthening cross-sector collaboration using a One Health approach to achieve dog-mediated human rabies elimination by 2030.

scholarly journals Centers for Disease Control and Prevention’s School Vaccination Assessment: Collaboration With US State, Local, and Territorial Immunization Programs, 2012–2018

2020 ◽  
Vol 110 (7) ◽  
pp. 1092-1097
Author(s):  
Jenelle L. Mellerson ◽  
Erica Street ◽  
Cynthia Knighton ◽  
Kayla Calhoun ◽  
Ranee Seither ◽  
...  
Keyword(s):  
Disease Control ◽  
Vaccination Coverage ◽  
Private School ◽  
Local Level ◽  
District Of Columbia ◽  
Immunization Programs ◽  
Multiple Sources ◽  
Vaccine Preventable Diseases ◽  
Level Data ◽  
Centers For Disease Control

Objectives. To describe the ongoing collaboration of the Centers for Disease Control and Prevention’s (CDC’s) school vaccination assessment with state, local, and territorial immunization programs to provide data to monitor school entry vaccination. Methods. Departments of health and education partner to collect data from public school, private school, and homeschooled kindergartners in the 50 US states, the District of Columbia, 2 cities, and the US territories. Immunization programs submit vaccination coverage and exemption data to the CDC, and the CDC reports these data annually via multiple sources. Results. Among the 50 states and the District of Columbia, the number of programs using a census for vaccination coverage data increased from 39 to 41 during the school years 2012–2013 to 2017–2018 (which for most states was August or September through May or June), and the number using a census to collect exemption data increased from 40 to 46. The number of states that reported sharing their local-level vaccination coverage data online increased from 11 in 2012–2013 to 31 in 2017–2018. Conclusions. Coverage data can be used to address undervaccination among kindergartners to work with communities and schools that are susceptible to vaccine-preventable diseases. As more states publish local-level data online, access to improved data provides the public more valuable information.

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