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An Evolution to Public Health : The Autobiography of an Infection Disease Pediatrician. Kenneth J. Bart , MD , MPH , MSHPM. Outline. Curative v.s. Preventive Medicine Global Issues Development of Vaccines Criteria for Eradication US Experience Taiwan Experience Autobiography Sketch.
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An Evolution to Public Health:The Autobiography of an Infection Disease Pediatrician. Kenneth J. Bart , MD , MPH , MSHPM
Outline • Curative v.s. Preventive Medicine • Global Issues • Development of Vaccines • Criteria for Eradication • US Experience • Taiwan Experience • Autobiography Sketch
Generally Expected Efficacy of a Primary Series of Different Vaccines
Cost-Benefit of Measles, Mumps and Rubella Vaccines + Amer J Public Health 1985;75:750 ++Dev Biol Stand 1985;61:429
Epidemiological Basis for Polio Eradication • Poliovirus causes acute, non-persistent infections • Virus is transmitted only by infectious humans or their waste • Virus survival in the environment is finite • Humans are the only reservoir • Immunization with polio vaccine interrupts virus transmission
Epidemiological Basis for Measles Eradication • Measles affects humans only • No chronic carriers • Characteristic clinical illness • Highly effective measles vaccine • Herd immunity could prevent measles