       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).

