Lege Artis Medicinae

[Vaccinations in the world the expanded programme on immunization]

LELKES Miklós1, VEDRES István1

SEPTEMBER 30, 1992

Lege Artis Medicinae - 1992;2(09)

[The Expanded Programme on Immunization (EPI) began in 1974 as a WHO-programme, later joining the UNICEF and other organizations. The original target diseases of EPI were tuberculosis, diphtheria, pertussis, tetanus and neonatal tetanus and morbilli. The WHO advises that yellow fever vaccine should be incorporated into EPI and routinely adminis tered to children in all countries at risk for yellow fever. The EPI is dealing now already with the problem of hepatitis B and rubella (congenital rubella syndrome) also. A great achievement of EPI for 1990 of 80% immunization coverage among infants world wide with BCG and measles vaccine and the third dose of DPT and of oral poliovirus vaccines. Some short term goals of EPl: global eradication of poliomyelitis by the year 2000, reduction of measles death by 95% by 1995 and reduction of measles cases world wide by 90% compared to pre-immunization levels as a major step towards the global eradication of measles. Also by 1995, case fatality rates from measles should be reduced to less than 1% in all countries. The WHO European Region has adopted the target of no indigenous measles by the year 2000. Concerning the EPI diseases, the epidemiological situation in Europe including Hungary is generally favourable. ]

AFFILIATIONS

  1. Semmelweis Orvostudományi Egyetem Közegészségtani és Járványtani Intézet Budapest

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[Right ventricular infarction (RVI) may occure as isolated or, more often, associated with left ventricular – inferior or occasionally anterior - infarction. The diagnosis of RVI is based first of all on the characteristic clinical symptoms, on the ECG pattern and on the results of 2D-echo-cardiography. The exact localisation of the infarction has vital significance in the therapy of the acute phase. The mortality can be substantially decreased with adequate therapeutic measures even in severe cases. The prospective prognosis of RVI is more favourable than that of left ventricular infarcti on. The author presents the most important diagnostic and therapeutic features related to RVI. ]

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