悉尼西部一个太平洋岛屿社区麻疹暴发的应对

(1)

a ि⫳䚼ᮄफ࿕ᇨ຿݀݅ि⫳ᅬਬ෍䆁乍Ⳃˈᮄफ࿕ᇨ຿ˈ▇໻߽ѮǄ

b ᮄफ࿕ᇨ຿໻ᄺ݀݅ि⫳੠⼒ऎएᄺᄺ䰶ˈᮄफ࿕ᇨ຿ˈ▇໻߽ѮǄ

c ᙝሐ㽓䚼ഄᮍि⫳ऎ݀݅ि⫳䚼䮼ˈᮄफ࿕ᇨ຿ˈ▇໻߽ѮǄ

d ᮄफ࿕ᇨ຿ि⫳䰆ᡸˈ▇໻߽ѮǄ

e ሐᑇ㪱ቅഄᮍि⫳ऎ݀݅ि⫳䚼䮼ˈᮄफ࿕ᇨ຿ˈ▇໻߽ѮǄ ᡩ〓᮹ᳳ˖2014ᑈ7᳜28᮹˗থ㸼᮹ᳳ˖2015ᑈ4᳜6᮹

ሑ

^{ㅵ▇໻߽Ѯ೼}^ഄӴ᪁^[1]ˈԚᰃᬷ೼ⱘ咏⮍ᲈথҡϡᮁথ

²⁰⁰⁵

^{ᑈᏆ㒣⍜䰸њ咏⮍ⱘᴀ}

⫳ǄҢ

2010

ᑈࠄ

2013

ᑈˈᮄफ࿕ᇨ຿݅

᡹ਞ

323

՟咏⮍⮙՟ˈ݊Ё

2011

ᑈ੠

2012

ᑈ䖬᳝䕗

໻㾘῵ⱘ咏⮍ᲈথ^[2]Ǆ

2012

ᑈᮄफ࿕ᇨ຿থ⫳ⱘ咏⮍

ᲈথ᳝݅

168

՟⮙՟^[3]ˈ݊Ё໻䚼ߚ⮙՟থ⫳೼ᙝሐ 㽓䚼੠㽓फ䚼ˈ㗠Ϩ೼໾ᑇ⋟ቯቓৢ㺨Ҏ㕸Ёⱘ↨՟

䖛催^[3]Ǆ

2011

ᑈᙝሐ㽓䚼ⱘ咏⮍ᲈথгϡ៤⿟ᑺഄᕅ ડњ໾ᑇ⋟ቯቓҎ㕸ˈ

26

՟⮙՟Ёˈ᳝

46%

Ў໾ᑇ⋟

ቯቓৢ㺨^[4]Ǆ

Ā໾ᑇ⋟ቯቓҎ㕸āᰃᣛᴹ㞾㕢ᢝሐ㽓Ѯ㕸ቯˈ ᆚܟ㔫ሐ㽓Ѯ੠⊶߽ሐ㽓Ѯ㘨䙺ᎲⱘҎ㕸^[5]ˈ㗠䖭ѯ ᴹ㞾ϡৠഄऎҎ㕸ⱘ᭛࣪ǃ䇁㿔੠ᅫᬭ৘ϡⳌৠ^[5]Ǆ

▇໻߽Ѯⱘᙝሐǃ๼ᇨᴀ੠Ꮧ䞠ᮃ⧁᳝໻䞣ⱘ໾ᑇ⋟

ቯቓ⼒ऎ^[6]Ǆ

Blacktownഄᮍᬓᑰऎᰃᮄफ࿕ᇨ຿᳔໻ⱘϔϾऎ

ඳˈ᳝ሙ⇥312 479Ҏ^[7]ˈ᭛࣪ਜ໮ḋᗻˈ38%ⱘሙ⇥

೼⍋໪ߎ⫳ˈ37%ⱘሙ⇥䰸㣅䇁໪䖬䆆঺ϔ⾡Џ㽕䇁㿔^[8]Ǆ㧼ᨽѮ䇁ᰃᔧഄҎ䆆ⱘ㄀5໻ᐌ⫼䇁㿔ˈᥦৡ

ᙝሐ㽓䚼ϔϾ໾ᑇ⋟ቯቓ⼒ऎ咏⮍ᲈথⱘᑨ ᇍ˖⼒ऎ䆓䇜Փᬭූ៤Ў᥹⾡䮼䆞

Nicola Scott

^ab

ˈSalwa Gabriel

^c

ˈVicky Sheppeard

^d

ˈAlisa Peacock

^c

ˈCaroline Scott

^c

ˈKristina Flego

^c

ˈ Bradley Forssman

^e

੠Holly Seale

^b

䗮䆃԰㗙˖Nicola Scott (⬉ᄤ䚂ㆅ˖[email protected])Ǆ

೼᳔ᐌ⫼ⱘϪ㋏䇁㿔ⱘ㄀12ԡ˄4624Ҏ˅ˈ᥹ϟᴹ ᰃ᭤⌢䇁ᥦৡ೼13ԡ˄4105˅੠↯߽䇁ᥦৡ೼15ԡ

˄3282Ҏ˅^[10]ǄϪ㋏ᰃᣛϔϾҎᕔಲಲ⒃ϝҷৢⱘ᭛

࣪ḍ⑤੠⾡ᮣ㚠᱃ˈϪ㋏ৃҹ↨ߎ⫳೑᳈ޚ⹂ഄড᯴

໾ᑇ⋟ቯቓҎ㕸ⱘ᭄䞣^[6]Ǆ

ࠄⳂࠡЎℶˈᇍ▇໻߽Ѯ໾ᑇ⋟ቯቓ⼒ऎҎ㕸ܡ

⭿᥹⾡ⱘⷨお䴲ᐌᇥǄᮄ㽓݄ϔ乍ⷨおথ⦄ˈ݋᳝໾

ᑇ⋟ቯቓ㚠᱃ⱘᄽᄤϢᮄ㽓݄↯߽Ҏ៪݊Ҫᮄ㽓݄ⱘ ܓスⳌ↨ˈ䑿ԧعᒋ⢊މ᳈Ꮒˈ᳈ᆍᯧ಴੐਌䘧ᛳᶧ

੠Ⲃ㙸ᛳᶧ㗠ܹ䰶ˈ㗠Ϩ䇌བ㛥㝰♢⧗㦠⮙੠咏⮍ㄝ

⮒⮙ⱘথ⮙⥛᳈催^[11]Ǆⷨおথ⦄Ϣᮄ㽓݄ⱘ໾ᑇ⋟

ቯቓ⼒ऎ၈ᑐܓϡᅠܼܡ⭿᳝ᰒ㨫݇㋏ⱘ಴㋴ࣙᣀ˖

˄1˅↡҆ⱘߎ⫳ഄ˄໾ᑇ⋟ቯቓ೑ᆊߎ⫳ˈ㗠䴲ᮄ㽓

݄ߎ⫳˅˗˄2˅⌏ѻ᭄˄䍙䖛Ͼᄽᄤ˅˗˄3˅↡҆

਌⚳˗˄4˅Ѹ䗮ೄ䲒^[12,13]Ǆ

ᮄ 㽓 ݄ ໾ ᑇ ⋟ ቯ ቓ ⼒ ऎ ⱘ ܓ ス ੠ 䴦 ᇥ ᑈ ᰃ ফ

2011

ᑈ੠

2012

ᑈᮄफ࿕ᇨ຿咏⮍ᲈথᕅડⱘЏ㽕Ҏ 㕸ˈ಴ℸ៥Ӏ䗮䖛ҹϟ᥾ᮑᴹᦤ催ҪӀⱘ᥹⾡⥛˖

˄

1

˅䗮䖛Ϣ⼒ऎ៤ਬ䆓䇜њ㾷ᕅડ໾ᑇ⋟ቯቓ⼒ऎܡ

(2)

عᒋֱ䰽䅵ߦ˅ⱘܓス䛑Ӯ㹿㞾ࡼ㒇ܹACIR㋏㒳Ёˈ 䰸䴲ܓスᆊ䭓Џࡼ㽕∖䗔ߎǄ಴Ў99%ⱘܓスࠄ1ቕ ᯊ䛑Ӯ೼ए⭫ֱ䰽㋏㒳Ёⱏ䆄ˈ಴ℸৃҹᇚ䆹㋏㒳ⳟ ៤޴Тᅠᭈⱘܼ೑ⱏ䆄^[15]Ǆ⬅ѢACIR㋏㒳೼1997ᑈ ᓔ ྟ 䖤㸠 ˈ ಴ ℸ ໻ ᑈ 啘 ⱘ ໾ ᑇ ⋟ ቯ ቓ ⼒ ऎ 䴦 ᇥ ᑈ

˄

> 1 9

ቕ ˅ ৃ 㛑 ≵ ᳝ 䖯㸠咏 ⮍ ǃ 㝂㝎 ♢ ੠ 亢 ⮍

˄MMR˅2ࠖ⃵⭿㢫ⱘ᥹⾡ˈ៪㗙≵᳝᥹⾡䆄ᔩˈ಴

ℸ䆹ᑈ啘㒘԰Ў㸹ܙܡ⭿ⱘ⃵㽕ⳂᷛҎ㕸Ǆ䆹乍Ⳃ䰸 њЎⳂᷛҎ㕸᥹⾡咏⮍⭿㢫໪ˈབᵰⳂᷛҎ㕸೼㋏㒳 Ё㔎УC㕸⌕㛥᥹⾡䆄ᔩˈ߭гЎҪӀᦤկ&㕸⌕㛥⭿

㢫ⱘ᥹⾡᳡ࡵǄ

᥹⾡䮼䆞ⱘഄ⚍੠ৢࢸ

2013

ᑈ೼ᙝሐ㽓䚼ⱘϔϾ䕗໻ⱘ㧼ᨽѮᬭූ៤ゟњ

2

Ͼ㸹ܙܡ⭿᥹⾡䮼䆞Ǆ೼⼒ऎЁ䗮䖛Ӵऩ੠ষ༈Ӵ᪁ ⱘᮍᓣᇍ໻ᆊᅷӴ䆹᥹⾡䮼䆞Ǆ㄀ϔϾ᥹⾡䮼䆞ᰃ೼

ϔϾ㧼ᨽѮ㡖᮹ⱘᔽᥦ᮹៤ゟⱘˈ䖭Ͼᛇ⊩ᰃ⬅ᬭӮ 乚㹪ᦤ䆂ⱘˈ಴Ў೼ᔽᥦ᮹䙷໽ᬭූӮӫⱘᕜ໮ܓス

੠䴦ᇥᑈ䛑ӮࠄഎǄ⬅Ѣϸࠖ⃵

MMR

᥹⾡⿟ᑣ㽕∖೼

㄀ϔࠖ⃵᥹⾡ৢ㟇ᇥ਼ህ㽕᥹⾡㄀Ѡࠖ⃵^[16]ˈ಴ℸ ϔϾ᳜ৢজ៤ゟњ㄀ѠϾ᥹⾡䮼䆞Ǆ

㒧ᵰ

䆓䇜໾ᑇ⋟ቯቓ⼒ऎ៤ਬ খࡴ㗙

12ৡ⼒ऎখࡴ㗙Ё᳝10ৡᰃᴹ㞾㧼ᨽѮ㕸ቯˈ1ৡᴹ

㞾ᑧܟ㕸ቯˈ঺1ৡᴹ㞾∸ࡴǄ಴ফࠄ᢯ࢳ䖛⿟ⱘᕅ ડˈ᠔ҹখࡴ㗙Џ㽕䛑ᰃཇᗻ˄n = 11˅Ǆ᠔᳝খࡴ

㗙䛑᳝2Ͼᄽᄤ៪㗙䍙䖛ϔञখࡴ㗙᡹ਞཌྷӀⱘᄽᄤ೼

▇໻߽Ѯߎ⫳Ǆ⍋໪ߎ⫳ⱘܓスЁˈЏ㽕ᰃ೼ᮄ㽓݄

ߎ⫳ǄಯߚПϔⱘখࡴ㗙䇈ཌྷӀᏆ㒣᳝ᄭᄤ៪ᄭཇǄ 䆓䇜ⱘৡि⫳ϧϮҎਬЁˈ

3

ৡЎ㧼ᨽѮҎˈ

2

ৡЎ∸ࡴҎˈ

2

ৡЎ䴲໾ᑇ⋟ቯ⇥Ǆ೼䆓䇜ᯊˈि⫳

ϧϮҎਬᔧᯊҢџⱘᎹ԰Ў⼒ऎعᒋǃ߱㑻ֱع៪㗙 ϝ㑻ए䰶ֱعǄ

ܡ⭿ⶹ䆚

⼒ऎখࡴ㗙䅸Ўܡ⭿᥹⾡ᰃ䞡㽕ⱘˈ㗠Ϩᇍܡ⭿ৃҹ 䰆ℶཌྷӀⱘᄽᄤ੠ཌྷӀ㞾Ꮕথ⮙ᣕ⿃ᵕᗕᑺǄ

ܡ⭿᥹⾡䴲ᐌདˈ಴Ўᅗৃҹ乘䰆⮒⮙ⱘথ

⭿᥹⾡ⱘ䰏⹡಴㋴ˈ˄2˅ᓔሩ䆩⚍乍Ⳃˈᑊ⬅ℸᇚᙝ ሐ㽓䚼ϔϾ㧼ᨽѮᬭූ԰Ў㸹ܙܡ⭿ⱘ2Ͼ᥹⾡䮼䆞Ǆ ᴀ᭛ᇍϞ䗄ݙᆍ䖯㸠᡹䘧Ǆ

ᮍ⊩

䆓䇜໾ᑇ⋟ቯቓ⼒ऎⱘ៤ਬ

ⷨお䆒䅵੠ḋᴀ䞣

2013ᑈ៥Ӏ䞛⫼ञ㒧ᵘᓣ䯂ोᇍ໾ᑇ⋟ቯቓⱘ⼒ऎ៤

ਬǃ೼䆹⼒ऎᎹ԰៪Ⳍ݇ⱘि⫳ϧϮҎਬ䖯㸠䆓䇜Ǆ 䗮䖛݀݅ि⫳䚼䮼᢯ࢳि⫳ϧϮҎਬখࡴᴀⷨおǄϔ ৡ໾ᑇ⋟ቯቓ⼒ऎⱘि⫳Ꮉ԰㗙䴲ᐌњ㾷䆹⼒ऎᑊ݋

᳝Єᆠⱘ⼒ऎᎹ԰㒣偠ˈҪᐂࡽী䲚⼒ऎখࡴ㗙Ǆড় Ḑⱘখࡴ㗙Ў໾ᑇ⋟ቯቓ᳝ᄽᄤⱘ⼒ऎ៤ਬˈҪӀ䗮䖛ᔧഄⱘ໾ᑇ⋟ቯቓཛཇᬃᣕಶԧ੠ϔϾ໾ᑇ⋟ቯቓ ᬭූࡴܹᴀⷨおǄⷨお㗙䗮䖛㣅䇁៪㧼ᨽѮ䇁ᇍᴀⷨ

お䖯㸠ষ༈䇈ᯢˈ㗠Ϩ䖬Փ⫼㣅䇁ǃ㧼ᨽѮ䇁៪∸ࡴ

䇁ݭ៤к䴶ⱘখࡴ㗙ֵᙃ੠ⶹᚙৠᛣкǄ฿ݭᅠᭈⱘ ⶹᚙৠᛣк䗮䖛⼒ऎि⫳Ꮉ԰㗙ড作㒭ⷨお㗙Ǆ໻㑺

80%ⱘখࡴ㗙ড作њⶹᚙৠᛣкˈ✊ৢⷨお㗙Ϣখࡴ

㗙㘨㋏ᅝᥦ䆓䇜ᯊ䯈Ǆ

䆓䇜ⱘⳂⱘᰃњ㾷ᕅડᔧഄܡ⭿᥹⾡ⱘ䰏⹡಴

㋴ˈᑊњ㾷㹿䆓䇜ᇍ䈵ᇍ៤ゟ㸹ܙܡ⭿䮼䆞ⱘᗕᑺǄ 䆓䇜㗙Փ⫼㣅䇁䖯㸠ᦤ䯂ˈ䯂乬ഛЎᓔᬒᗻˈ㹿䆓䇜㗙ৃҹᇍ䯂乬䖯㸠ᠽሩ㸹ܙǄ䆓䇜ᰃ೼⾕ϟ䞠䖯㸠ˈ

↣⃵䆓䇜໻㑺30ߚ䩳Ǆ䇗ᶹ㒘㒭↣ৡখࡴ㗙থᬒϔᓴ ҷ䞥ࠌ԰Ўখࡴ䇗ᶹⱘ᡹䝀Ǆ

᭄᥂ߚᵤ

䆓䇜䖛⿟㹿ᔩ䷇ˈ✊ৢ䗤ᄫᡘᔩˈᑊՓ⫼

QSR

೑䰙

NVIVO10

ᅮᗻ᭄᥂ߚᵤ䕃ӊ䖯㸠Џ乬ߚᵤǄПৢ䞛⫼

Ѡ⃵㓪ⷕ䖯㸠ḌᇍǄ

ᴀⷨお䗮䖛ᮄफ࿕ᇨ຿໻ᄺⱘӺ⧚ᄺᅵḌǄ 㸹ܙܡ⭿䮼䆞

ⳂᷛҎ㕸੠ᦤկⱘܡ⭿᥹⾡᳡ࡵ

಴Ў໾ᑇ⋟ቯቓ⼒ऎⱘ10–19ቕ䴦ᇥᑈᰃ2011ᑈ੠

2012ᑈ咏⮍ᲈথЁফᕅડ᳔໻ⱘҎ㕸ˈ಴ℸҪӀᰃ㸹

ܙܡ⭿䮼䆞ⱘЏ㽕ⳂᷛҎ㕸^[3,4]Ǆ▇໻߽Ѯܓスܡ⭿ⱏ 䆄㋏㒳˄ACIR˅ᰃϔϾܼ೑ᗻⱘⱏ䆄㋏㒳ˈ1996ᑈ

(3)

Ѹ⌕

ᇍѢ໻䚼ߚ⼒ऎখࡴ㗙ᴹ䇈ˈ䇁㿔䯂乬੠㔎У≳䗮Ѹ

⌕ᑊϡᰃܡ⭿᥹⾡ⱘ䰏⹡಴㋴ˈ㱑✊䆹䇗ᶹ㒧ᵰ᳝ৃ

㛑Ӯফࠄ⫼㣅䇁䖯㸠䆓䇜ⱘᕅડǄ

Ⳍ↨Пϟˈ᠔᳝ⱘ㹿䆓䇜ⱘि⫳ϧϮҎਬ䅸Ў໾

ᑇ⋟ቯቓ⼒ऎҎ㕸ᇍܡ⭿᥹⾡ⱘ䫭䇃ֵᙃǃ䈀䇃ⳟ⊩

ҹঞ䕗Ԣⱘعᒋ㋴ݏᰃ䰏⹡᥹⾡ⱘϔϾ݇䬂಴㋴Ǆ

⧚㾷੠≳䗮Ѹ⌕㛑࡯Ꮒ݊ᅲᰃϔϾᅷӴᬭ㚆 ⱘ䯂乬ˈҎӀᇍܡ⭿᥹⾡ᑊ≵᳝ⳳℷ⧚㾷ˈ಴ℸ

੠ҪӀ≳䗮䍋ᴹ䴲ᐌೄ䲒Ǆüüि⫳ϧϮҎਬ

֗䖯᥹⾡⥛ⱘㄪ⬹

Ϣ⼒ऎ៤ਬ䆓䇜㒧ᵰⳌ↨ˈि⫳ϧϮҎਬᛳ㾝ЎҎ㕸 ᦤկ݇Ѣܡ⭿᥹⾡ҹঞ᳾᥹⾡ⱘ亢䰽ㄝᮍ䴶ⱘֵᙃ੠

ᅷӴᬭ㚆䴲ᐌ䞡㽕Ǆ

㒘㒛㗏䆥㗙৥⼒ऎҎ㕸ᅷӴ݇Ѣ㒭ܓス᥹⾡

ⱘད໘ҹঞϡ᥹⾡ⱘ亢䰽Ǆüüि⫳ϧϮҎਬ

⬅ѢПࠡ݀݅ि⫳䚼䮼᳒᥹ࠄᓎ䆂ˈ㗗㰥໾ᑇ⋟

ቯቓ⼒ऎЁᬭූ೼ܡ⭿᥹⾡Ёⱘ䞡㽕԰⫼ˈ಴ℸⷨお㗙৥⼒ऎ៤ਬ䆶䯂ҪӀᇍ䗮䖛ᬭූᦤկܡ⭿᥹⾡ֵᙃ ⱘⳟ⊩ˈ⼒ऎ៤ਬ੠ि⫳ϧϮҎਬഛৠᛣ䖭Ͼᮍᓣˈ Ԛᰃˈ⼒ऎ៤ਬⱘ⿃ᵕᗕᑺৃ㛑ফࠄҪӀϢഄᮍᬭӮ

݇㋏ⱘᕅડǄ

໮᭄ⱘ໾ᑇ⋟ቯቓሙ⇥䛑এᬭූˈг䆌䖭ᰃ ᅷӴܡ⭿᥹⾡ⱘ᳔ད䗨ᕘПϔǄ䗮䖛⠻Ꮬᦤ䝦Ҏ Ӏ䖯㸠᥹⾡ˈ಴Ў⠻ᏜⱘᎹ԰гᰃЎњҎӀ㊒⼲

ⱘعᒋˈ಴ℸҪӀӮЎњҎ㕸ⱘعᒋ㗠Ӵ᪁ֵᙃ ⱘǄüü⼒ऎ៤ਬ

៥ᛇ䗮䖛ᬭූᅷӴৃ㛑Ӯ๲ࡴҎӀⱘᛣ䆚ˈ

಴Ўᬭූᰃ໻໮᭄Ҏ䛑㽕এⱘഄᮍǄ⼒ऎህᰃೈ

㒩ⴔᬭූ㗠⌏ࡼˈ಴ℸ䗮䖛ᬭූᦤ催ҎӀⱘᛣ䆚

੠≳䗮Ѹ⌕ᰃϔϾདᮍ⊩Ǆüüि⫳ϧϮҎਬ

䇗ᶹ㒘৥㹿䆓䇜ᇍ䈵䆶䯂ҪӀᇍՓ⫼ᬭූ԰Ў㸹 ܙܡ⭿᥹⾡䮼䆞ⱘⳟ⊩Ǆ໻໮᭄⼒ऎ៤ਬ䇈ҪӀᕜ催

݈㞾Ꮕⱘᄽᄤ៪㗙ᄭᄤ㛑೼ᬭූ᥹⾡Ǆि⫳ϧϮҎਬ г䛑ৠᛣ䖭Ͼᮍ⊩Ǆ

᠔᳝খࡴ㗙䛑㟇ᇥ㛑䇈ߎ2⾡⭿㢫ৃ乘䰆⮒⮙ⱘ ৡ⿄ˈ໻䚼ߚখࡴ㗙ᦤࠄњⱒ᮹ઇˈ咏⮍៪∈⮬ˈ䖬

᳝ϔᇣ䚼ߚখࡴ㗙ᦤࠄњ᳈໡ᴖⱘ⮒⮙ˈབ⌕㛥੠㙱

♢Ǆ

খࡴ㗙䇈ཌྷӀᛳ㾝ܡ⭿᥹⾡ⱘॅ䰽䴲ᐌᇣǄϔৡ খࡴ㗙ᦣ䗄њཌྷⱘܘᓳ᳒㒣೼ቯϞ᥹⾡ৢথ⫳њϹ䞡 ⱘࡃডᑨˈԚᰃˈཌྷᛳ㾝೼▇໻߽Ѯ᥹⾡⭿㢫ᑊϡॅ

䰽Ǆখࡴ㗙᡹ਞⱘ᥹⾡⭿㢫ⱘད໘ࣙᣀ˖乘䰆⮒⮙ǃ

֗䖯䑿ԧعᒋǃ᳝߽Ѣᄽᄤᅝܼǃ⌏⋐੠ᑌ⽣Ǆг᳝

ѯখࡴ㗙䅸Ў݊ҪҎ㕸㒭ҪӀⱘᄽᄤ䖯㸠ܡ⭿᥹⾡ᕜ 䞡㽕ˈℸ໪ˈ䖬ᦤࠄњབᵰܓスϡ᥹⾡⫳⮙ৢⱘ䌍⫼

䯂乬Ǆ

಴Ў៥ϡᛇ䅽ҪӀ⫳⮙Ǆ៥ᏠᳯҪӀعᒋˈ 䖭ḋᇍ៥ⱘᐂࡽ᳈໻ˈ಴Ўᄽᄤབᵰ⫳⮙њˈ៥ ህᕫᏺҪӀএⳟ⮙ˈ㽕㢅ᕜ໮䪅Ǆüü⼒ऎ៤ਬ

ܡ⭿᥹⾡ⱘ䱰⹡

ᖭ⹠ⱘ⫳⌏

ᔧ䯂ঞҪӀᇍܡ⭿᥹⾡䰏⹡಴㋴ⱘ㾖⚍ᯊˈ໻䚼ߚখ

ࡴ㗙䇈Џ㽕ॳ಴ᰃᖭˈ಴Ўᖭᇐ㟈ҪӀᖬ䆄៪≵᳝ᯊ 䯈ᏺᄽᄤএए⫳䙷䞠᥹⾡ǄᇍѢ䚼ߚখࡴ㗙ᴹ䇈ˈᇍ Ѣܡ⭿᥹⾡ḍᴀህ≵᳝㋻䖿ᛳǄ

៥ܓᄤᏆ㒣ಯቕњˈ៥ᡞ᥹⾡ⱘџᚙ㒭ᖬ њǄ៥᳒㒣ᡞ᥹⾡߫೼៥ⱘᦤ䝦ऩϞˈԚᰃৢᴹ জ㒭ᖬᥝњǄ᠔ҹⳈࠄ៥ܓᄤቕϾ᳜њг≵᳝

᥹⾡Ǆ៥ϡᮁⱘᡞ᥹⾡䆄೼ᦤ䝦ऩϞˈԚᰃ៥≵

㾝ᕫ䖭ᰃϔϾ㋻ᗹⱘџᚙˈህᰃ಴Ўϡᮁ᳝⫳ᛣ 㽕خˈ៥ህজᡞ᥹⾡㒭ᖬᥝњˈϟ਼៥ህᏺᄽᄤ এ᥹⾡Ǆüü⼒ऎ៤ਬ

ᨀ䖕

໻䚼ߚ⼒ऎখࡴ㗙੠ि⫳ϧϮҎਬᦤࠄⱘϔϾ䯂乬ᰃ

⬅Ѣᨀ䖕㗠䫭䖛᥹⾡Ǆ⼒ऎ៤ਬ䇈ҎӀ㒣ᐌҢ㧼ᨽѮ ᨀࠄᮄ㽓݄ˈ✊ৢݡᨀࠄ▇໻߽ѮǄि⫳ϧϮҎਬг 䞡⚍ᔎ䇗њ䖭Ͼ䯂乬ˈ݊Ё᳝ϔৡҎਬϧ䮼ᦤࠄˈϔ ѯ໾ᑇ⋟ቯቓⱘᆊᒁ೼ҪӀⱘᄽᄤ䭓ࠄ䴦ᇥᑈᯊህᨀ 䍄њˈ಴ℸҪӀ䫭䖛њϔѯ⭿㢫ⱘ᥹⾡Ǆ

…

៥ᛇЏ㽕ॳ಴ህᰃ಴ЎҪӀᨀᆊњˈ

✊ৢ䫭䖛њ⭿㢫᥹⾡üüि⫳ϧϮҎਬ

(4)

⋟ቯቓ⼒ऎ៤ਬЁˈҪӀᇍܡ⭿᥹⾡ⱘ䞡㽕ᗻ䅸䆚䴲 ᐌ催ˈ㗠Ϩᯢ⹂㸼⼎ܡ⭿᥹⾡ৃҹᦤկֱᡸ԰⫼Ǆ⼒

ऎ៤ਬড᯴ᕅડ᥹⾡ⱘ݇䬂䰏⹡಴㋴ᰃҪӀ໾ᖭ≵᳝

ᯊ䯈Ң㗠ᖬ䆄᥹⾡Ǆि⫳ϧϮҎਬᛳ㾝䰏⹡᥹⾡ⱘ݇

䬂಴㋴ᰃሙ⇥䕗Ԣⱘⶹ䆚∈ᑇ੠عᒋ㋴ݏǄ⼒ऎ៤ਬ

੠ि⫳ϧϮҎਬ䛑䅸Ў⬅Ѣሙ⇥೼೑ᆊ䯈ⱘᨀ䖕ᇐ㟈 њ໾ᑇ⋟ቯቓ⼒ऎܓス䫭䖛᥹⾡Ǆ

ᙝሐ㽓䚼㧼ᨽѮᬭූⱘܡ⭿᥹⾡䮼䆞Ўᬭූখࡴ

㗙ᦤկњ㸹ܙܡ⭿ⱘᮍ֓ഄ⚍Ǆ԰ЎϔϾ䆩⚍乍Ⳃˈ

೼ৠϔ໽ݙ㦋ᕫখࡴ㗙ⱘⶹᚙৠᛣǃϢⱏ䆄㋏㒳䖯㸠

ֵᙃḌᇍǃᑊᦤկ䳔㽕᥹⾡ⱘ⭿㢫ˈ䖭ᰃϔϾ䴲ᐌ៤

ࡳⱘ㣗՟Ǆ✊㗠ˈ䖭Ͼᮍ⊩㽕∖᳝໻䞣ⱘ䌘⑤੠ᯊ䯈 ҹঞ⼒ऎП䯈㡃དⱘ݇㋏ǄৠϔϾ݀݅ि⫳䚼䮼೼ℸ Пࠡ᳒ᓔሩ䖛ҹ໾ᑇ⋟ቯቓ⼒ऎЎ෎⸔ⱘ᥹⾡䮼䆞ˈ Ԛᰃै᮴Ҏ䯂⋹ˈ㗠䖭⃵ҹᬭූЎ෎⸔ⱘ᥹⾡䮼䆞ै

ᇍ໻䞣ⱘҎ㕸䖯㸠њܡ⭿᥹⾡Ǆ䖭Ͼ乍Ⳃ៤ࡳⱘॳ಴

ৃ㛑ࣙᣀᬭූⱘഎ᠔ˈ᳝㡖᮹ᔽᥦ⌏ࡼˈҹঞ䮼䆞೼

਼᳿ᓔᬒㄝㄝǄ䳔㽕᥹⾡咏亢㝂੠C㕸⌕㛥⭿㢫ⱘҎ㕸 ⱘЁԡᑈ啘ᰃ20ቕˈ㸼ᯢᑈ䕏ⱘ៤ᑈҎᇚᴹг䆌䳔㽕

᳝䩜ᇍᗻⱘ᥹⾡ㄪ⬹ҹᦤ催ܡ⭿᥹⾡∈ᑇǄ೼ᭈϾᮄ फ࿕ᇨ຿ˈ䴦ᇥᑈᑈ䕏៤ᑈҎ䛑ᇍ咏⮍݋᳝ᯧᛳᗻ˗

೼2012ᑈ咏⮍ᲈথЁˈ15–19ቕҎ㕸ᰃ㄀Ѡ催থⱘᑈ 啘㒘^[3]Ǆ

ᴀ⃵ⷨお㱑✊ᰃᇍᇥ᭄ⱘ໾ᑇ⋟ቯቓ⼒ऎ៤ਬ䖯㸠䆓䇜ˈԚᰃ䆓䇜㒧ᵰᦤկњҪӀᇍܡ⭿᥹⾡ⱘⳌ݇

ⶹ䆚੠ᗕᑺˈ䖭ᰃ䴲ᐌ䞡㽕ⱘˈ಴Ўᗕᑺǃⳟ⊩ǃع ᒋֵᗉҹঞ∖ए㸠Ўᰃফࠄ⾡ᮣ੠᭛࣪ᕅડⱘ^[17]ˈϡ ৠⱘ᭛࣪㕸ԧᇍعᒋǃعᒋֱعǃ⮒⮙੠⊏⭫ⱘ⧚㾷

੠ᛳফᰃᅠܼϡৠⱘ^[17]Ǆᯚ຿݄عᒋЁᖗᓔሩњϔ乍

໾ᑇ⋟ቯቓ੠↯߽Ҏⱘعᒋ䳔∖䆘Ԅˈথ⦄᠔᳝໾ᑇ

⋟ቯቓ⼒ऎҎ㕸ⱘعᒋ㋴ݏഛ䴲ᐌᏂ˗∖ए㸠Ўг䕗 ᏂˈҎ㕸г㔎У᳝݇ि⫳᳡ࡵҹঞབԩ߽⫼ि⫳㋏㒳 ⱘⶹ䆚^[6]ǄᇍѢعᒋⱘӴ㒳㾖ᗉ䖬ᰃᕜⲯ㸠ˈԚᰃ䖭 ѯ⧚ᗉϢܡ⭿᥹⾡≵᳝݇㋏Ǆᬭූ੠ᅫᬭಶԧ㹿䅸Ў ᰃᇍ໾ᑇ⋟ቯቓ⼒ऎⱘ⼒Ӯޱ㘮ҹঞعᒋ㒧ሔ݋᳝⿃

ᵕⱘᕅડ԰⫼^[6]Ǆ

ᴀ⃵䆓䇜гさߎњᬭූⱘ䞡㽕ᕅડˈᬭූৃ㛑 ᰃᇍ催ॅҎ㕸䖯㸠㸹ܙܡ⭿ⱘড়䗖എ᠔ǄህⳂࠡ៥Ӏ ᠔ᥠᦵⱘᚙމˈݡ᮴݊Ҫ೼ᬭූݙ៤ゟ᥹⾡䮼䆞ⱘ᡹

ਞǄ

▇໻߽Ѯ໾ᑇ⋟ቯቓ⼒ऎሙ⇥ᇍѢܡ⭿᥹⾡ⱘᗕ ᑺ੠ֵᗉৃ㛑ফࠄҪӀ೼ߎ⫳೑㒣ग़ⱘᕅડǄ᳝ѯ໾

ᑇ⋟ቯቓ೑ᆊ䆄ᔩⱘ၈ᑐܓ੠ܓス⅏ѵ⥛䴲ᐌ催Ǆ䰸

⠊↡ᏺᄽᄤࠄᬭූএˈⳟϞএгᰃᇍ⠻Ꮬⱘ ᇞ䞡ˈ಴ℸ៥ᛇ䖭Мخⱘ䆱៥ӀӮ᳈៤ࡳǄüü

ि⫳ϧϮҎਬ

㸹ܙܡ⭿᥹⾡䮼䆞

೼㡖᮹ᔽᥦ᮹䙷໽៤ゟⱘ㄀ϔϾ᥹⾡䮼䆞݅᥹ᕙњ໻

㑺

70

ৡܓス੠䴦ᇥᑈǄ೼ᬭූㅍℒ᮹䙷໽៤ゟⱘ㄀Ѡ Ͼ᥹⾡䮼䆞ⱘᴹ䆓㗙ⱘᑈ啘⿡໻ϔѯǄ೼ϸϾ᥹⾡䮼䆞Ёˈⶹᚙৠᛣк฿ݭᅠ៤ৢˈ㽕Ϣ

ACIR

㋏㒳ҹঞᄺ

᷵ܡ⭿᥹⾡䆄ᔩ䖯㸠Ḍᇍˈҹ߸ᮁᰃ৺䳔㽕᥹⾡

MMR

⭿㢫៪㗙

C

㕸⌕㛥⭿㢫Ǆ

೼ ㄀ ϔ Ͼ ᥹ ⾡䮼䆞 ᳝

63

ৡ খ ࡴ 㗙 ˄ ໻ 㑺10Ҏ

≵᳝ৠᛣ᥹⾡˅ˈ೼㄀ѠϾ᥹⾡䮼䆞᳝15ৡখࡴ㗙㸼1Ǆ݊Ёˈ೼㄀ϔϾ᥹⾡䮼䆞খࡴ㗙Ё᳝27Ҏᰃ ᣝ㾘ᅮ᥹⾡䖛⭿㢫ˈ㄀ѠϾ䮼䆞খࡴ㗙Ё᳝1Ҏᣝ㾘ᅮ

᥹⾡њ⭿㢫ǄϸϾ䮼䆞݅ᦤկњ50ࠖ⃵ⱘ⭿㢫˖36ࠖ

⃵೼㄀ϔϾ䮼䆞ˈ14ࠖ⃵೼㄀ѠϾ䮼䆞˄㸼1˅Ǆ Ꮖ ᥹ ⾡䖛咏亢㝂 ⭿ 㢫 ⱘ খ ࡴ 㗙 ⱘ ᑈ 啘㣗 ೈ Ў

7–17

ቕ˄Ёԡᑈ啘

12

ቕ˅ˈ㗠䙷ѯ೼䮼䆞᥹ফ咏亢㝂⭿㢫ⱘখࡴ㗙ⱘᑈ啘㣗ೈЎ

10–29

ቕ˄Ёԡᑈ啘

20

ቕ˅ǄᏆ᥹⾡䖛

C

㕸⌕㛥⭿㢫ⱘখࡴ㗙ⱘᑈ啘㣗ೈ

ᰃ

7–27

ቕ˄Ёԡᑈ啘

16

ቕ˅ˈ㗠䙷ѯ೼䮼䆞᥹⾡

C

㕸

⌕㛥⭿㢫ⱘখࡴ㗙ⱘᑈ啘㣗ೈЎ

10–33

ቕ˄Ёԡᑈ啘

20

ቕ˅Ǆ

ᴀ⃵䆓䇜ⱘ㒧ᵰさߎԧ⦄њᬭූ೼⼒ऎЁⱘ䞡㽕

԰⫼ˈ಴ℸˈ೼ᙝሐ㽓䚼ⱘϔϾ㧼ᨽѮᬭූ៤ゟњ2Ͼ 㸹ܙܡ⭿᥹⾡䮼䆞Ǆ

䅼䆎

㸼

1. 2013

ᑈ▇໻߽Ѯᙝሐ㽓䚼㸹ܙܡ⭿᥹⾡䮼䆞খ

ࡴ㗙ܡ⭿⢊ᗕ੠ᰃ৺䖯㸠᥹⾡ⱘᚙމ

ܡ⭿⢊ᗕ Ҏ㕸᭄䞣

䮼䆞1 䮼䆞2 ᣝ✻Ⳍᑨᑈ啘㽕∖Ꮖܼ⿟ܡ⭿˄ϡ䳔

㽕᥹⾡˅

27 1

᥹⾡⭿㢫ⱘҎ᭄ 36 14

᳾᥹⾡⭿㢫ⱘҎ᭄ 34 4

᥹⾡ࠖ⃵MMR⭿㢫 2 10*

䮼䆞খࡴ㗙ᘏҎ᭄ 63 15

* ഛ೼㄀ϔϾ᥹⾡䮼䆞Ё᥹⾡њ㄀ϔࠖMMR⭿㢫Ǆ MMR咏⮍ǃ亢⮍੠㝂㝎♢Ǆ

(5)

߽Ⲟކさ

᮴

㒣䌍䌘ࡽ

Holly Seale

ᕫࠄ▇໻߽Ѯܼ೑ि⫳ϢएᄺⷨおྨਬӮ݀

݅ि⫳෍䆁༪ᄺ䞥ⱘ䌲ࡽ˄

1012631

˅ 㟈䇶

ᴀⷨおᰃNicola Scott԰Ўᮄफ࿕ᇨ຿݀݅ि⫳ᅬਬ෍

䆁乍Ⳃ䲛ਬᳳ䯈ᅠ៤ˈᑊᕫࠄᙝሐ㽓䚼݀݅ि⫳䚼䮼 ᮄफ࿕ᇨ຿ि⫳䚼ⱘ䌘ࡽǄ

ᓩ⫼ᴀ᭛ഄഔ˖

Scott N et al. Responding to a measles outbreak in a Pacific island community in western Sydney: community interviews led to church-based immunization clinics.

Western Pacific Surveillance and Response Journal, 2015, 6(2):51–57. doi:10.5365/wpsar.2014.5.3.004

খ㗗᭛⤂

1. Heywood AE et al. Elimination of endemic measles transmission in Australia. Bulletin of the World Health Organization, 2009, 87:64–71. doi:10.2471/BLT.07.046375 pmid:19197406 2. Measles notification in NSW residents. Sydney, New South Wales

Ministry of Health, 2013 (http://www0.health.nsw.gov.au/data/

diseases/measles.asp, accessed 2 February 2014).

3. Najjar Z et al. Sustained outbreak of measles in New South Wales, 2012: risks for measles elimination in Australia. Western Pacific Surveillance and Response Journal, 2014, 5:14–20.

doi:10.5365/wpsar.2013.4.4.001 pmid:25635228

4. Flego K, Sheppeard V, McPhie K. A recent measles outbreak in Western Sydney – diagnosis and population vaccination status.

Broad Street Pump, 2011, 23:1–2.

5. White R et al. Ethnic gangs in Australia: do they exist? - Report No. 3 Pacific Islander Young People. Melbourne, Australian Multicultural Foundation, 1999.

6. Queensland Health response to Pacific Islander and Maori Health needs assessment. Brisbane, Queensland Health, Division of the Chief Health Officer, 2011.

7. Demographics. Sydney, Blacktown City Council, 2013 (http://

www.blacktown.nsw.gov.au/Discover_Blacktown/Statistics/

Demographics, accessed 5 March 2015).

8. Blacktown City Council. Birthplace. Sydney, Blacktown City Council, 2013 (http://profile.id.com.au/blacktown/birthplace, accessed 5 March 2015).

9. Language spoken at home. Sydney, Blacktown City Council, 2013 (http://profile.id.com.au/blacktown/language, accessed 5 March 2015).

ϡⳌৠǄ2008ᑈ㟇2012ᑈˈ∸ࡴⱘ৿咏⮍⭿㢫᥹⾡

⥛Ў99%–95%ˈᑧܟ㕸ቯЎ95%–97%ˈ㧼ᨽѮ㕸ቯ Ў45%–85%Ǆ೼Ѩᑈᳳ䯈Ёˈ৿咏⮍⭿㢫ⱘ᥹⾡⥛

гϡϔ㟈ǄԚᰃˈ∸ࡴ੠ᑧܟ㕸ቯ᡹ਞҪӀ㛑ϔⳈֱ

ᣕ೼䕗催∈ᑇⱘ᥹⾡⥛Ǆ㧼ᨽѮ㕸ቯ䕗Ԣⱘ৿咏⮍⭿

㢫᥹⾡⥛ৃ㛑ফࠄ▇໻߽Ѯ㧼ᨽѮҎ⼒ऎ᥹⾡⥛ⱘᕅ ડǄ໾ᑇ⋟ቯቓ೑ᆊ䯈ⱘ᥹⾡⥛ϡৠгৃ㛑ᰃ⬅Ѣ৘

೑ᆊⱘ߱㑻ֱع㋏㒳ҹঞܡ⭿᳡ࡵ㋏㒳ϡৠ᠔㟈˗ℸ

໪ˈгᰒ⼎ߎҎ㕸೼ⶹ䆚Ϟⱘҷ≳ˈ䖭Ͼ䯂乬г䆌೼

ᇚᴹⱘⷨおЁৃ㛑ᕫࠄ㾷އǄ

೼▇໻߽Ѯˈ໾ᑇ⋟ቯቓ⼒ऎҎ㕸ᇍ䇌བܡ⭿᥹

⾡䖭㉏ⱘ߱㑻ि⫳ֱع᳡ࡵᮍ䴶ⱘⶹ䆚ǃᗕᑺ੠ֵᗉ ㄝᮍ䴶ⱘⷨお䴲ᐌᇥǄ᳝᳒ϔ乍ⷨおᰃ೼Ꮧ䞠ᮃᴀⱘ ಯϾ᭛࣪੠䇁㿔৘ϡⳌৠⱘ⼒ऎЁᓔሩⱘˈ䇗ᶹⱘݙ ᆍᰃ݇ѢҎ㕸ᇍि⫳᳡ࡵⱘৃঞᗻ੠߽⫼ᚙމǄ䖭乍

ⷨおথ⦄ˈ೼໾ᑇ⋟ቯቓ⼒ऎЁˈҎ㕸㔎Уৃ㦋ᕫᗻ

ि⫳᳡ࡵⱘⶹ䆚ˈ⬅Ѣि⫳Ꮉ԰㗙Փ⫼एᄺᴃ䇁䗴៤

≳䗮ⱘ䯂乬ˈ಴ℸҪӀ᳈ᜓᛣএᡒᴹ㞾Ѣৠḋ᭛࣪㚠 ᱃ⱘए⫳^[17]Ǆ㱑✊៥Ӏ䖭乍ⷨおҙ݇⊼ܡ⭿᥹⾡ˈԚ ᰃ䖭ѯ᳈ᑓ⊯ⱘ㾖⚍ᇍѢ֗䖯Ϣ᭛࣪Ⳍ䗖ᑨⱘ߱㑻ि

⫳ֱع᳡ࡵৃ㛑䴲ᐌ᳝⫼ˈ՟བ೼ᮄफ࿕ᇨ຿ⱘ໾ᑇ

⋟ቯቓ⼒ऎЁⱘܡ⭿䮼䆞Ǆ

ᴀⷨおᄬ೼ϔѯሔ䰤ᗻ˖ҙᇍᇥ䚼ߚখࡴ㗙䖯㸠 њ䆓䇜˗Փ⫼㣅䇁䖯㸠䆓䇜ৃ㛑Ӯᇐ㟈䗝ᢽأ׮ˈ㛑

⫼㣅䇁Ѹ⌕ⱘҎ᳈ᆍᯧ㹿㒇ܹⷨおᇍ䈵˗ℸ໪ˈ᳾ᬊ 䲚䆺㒚ⱘ⼒Ӯ㒣⌢੠Ҏষᄺֵᙃ˗⼒ऎখࡴ㗙Ϣ䋳䋷

᢯ࢳཌྷӀⱘཛཇಶԧ੠ᬭӮ᳝݇㋏Ǆ䖭ѯᚙމৃ㛑䰡 Ԣњᴀⷨおᇍ݊Ҫ໾ᑇ⋟ቯቓ⼒ऎⱘҷ㸼ᗻˈгৃ㛑 ᇐ㟈݊Ҫ䞡㽕ⱘ䯂乬᳾㛑㹿থ⦄Ǆ䮼䆞ⱘሔ䰤ᗻ೼Ѣ ϔѯখࡴ㄀ϔϾ䮼䆞ⱘҎ≵᳝ݡ⃵ಲᴹ᥹⾡㄀Ѡࠖ咏亢㝂⭿㢫ˈ㗠Ϩ䮼䆞া݇⊼њϔϾ໾ᑇ⋟ቯቓ⼒ऎ੠

䆹⼒ऎЁⱘϔϾᅫᬭᬭ⌒ǄՓ⫼ᓔᬒᓣ䯂乬ৃҹ㦋ᕫ

᳈⏅ܹⱘֵᙃˈѠ⃵㓪ⷕḌᅲৃҹ๲ᔎߚᵤⱘ࡯ᑺǄ

㒧䆎

䗮䖛䆓䇜ᇣ䚼ߚ⼒ऎ៤ਬ੠ि⫳ϧϮҎਬˈথ⦄њᬭ

ූⱘ䞡㽕԰⫼ˈ಴ℸˈ೼ᙝሐ㽓䚼ϔϾ㧼ᨽѮᬭූ៤ ゟњ2Ͼܡ⭿᥹⾡䮼䆞Ǆ䖭⾡ᮍ⊩Ў᳔催ॅҎ㕸ᦤկњ ܡ⭿᥹⾡ˈ㗠Ϩ䴲ᐌ៤ࡳˈߌᰒњᔧഄᬭූ੠݀݅ि

⫳䚼䮼П䯈ⱘড়԰ৃҹ᳝ᬜഄᦤկ㸹ܙ䅵ߦܡ⭿ǄԚ ᰃˈ䖭⾡ᮍ⊩䳔㽕໻䞣ⱘ䌘⑤੠ᯊ䯈ˈᑊ㽕∖੠⼒ऎ П䯈᳝㡃དⱘ݇㋏ˈᠡ㛑ֱ䆕៤ࡳǄϢᅲᮑᐌ㾘ⱘ⭿

㢫乍ⳂⳌ↨ˈᬭූ៪㉏Ԑⱘ⼒ऎഎ᠔ৃҹ⫼ᴹ䩜ᇍ催

ॅҎ㕸೼ᲈথᯊᦤկܡ⭿᥹⾡Ǆ

(6)

registers? Vaccine, 2009, 27:5054–5060. doi:10.1016/j.

vaccine.2009.06.056 pmid:19576945

16. The Australian Immunisation Handbook – 10th edition. Canberra, Department of Health and Ageing, 2013.

17. Henderson S, Kendall E. Culturally and linguistically diverse peoples’ knowledge of accessibility and utilisation of health services: exploring the need for improvement in health service delivery. Australian Journal of Primary Health, 2011, 17:

195–201. doi:10.1071/PY10065 pmid:21645477

18. Gani A. Some aspects of comm unicable and non-communicable diseases in Pacific Island countries. Social Indicators Research, 2009, 91:171–187. doi:10.1007/s11205-008-9276-x

19. WHO-UNICEF Estimates of measles containing vaccine (MCV) coverage. Geneva, World Health Organization, 2014 (http://apps.

who.int/immunization_monitoring/globalsummary/timeseries/

tswucoveragemcv.html, accessed 5 March 2015).

10. Ancestry. Sydney, Blacktown City Council, 2013 (http://profile.

id.com.au/blacktown/ancestry, accessed 5 March 2015).

11. Tukuitonga CR, Bell S, Robinson E. Hospial admission among Pacific children Auckland 1992–97. The New Zealand Medical Journal, 2000, 113:358–361. pmid:11130369

12. Paterson J et al. Maternal and demographic factors associated with non-immunisation of Pacific infants living in New Zealand.

The New Zealand Medical Journal, 2004, 117:U994.

pmid:15475977

13. Paterson J et al. Immunisation of a cohort Pacific children living in New Zealand over the first 2 years of life. Vaccine, 2006, 24:4883–4889. doi:10.1016/j.vaccine.2006.02.050 pmid:16644070

14. Australian childhood immunisation register. Canberra, Department of Human Services, 2013 (http://www.medicareaustralia.gov.au/

provider/patients/acir/, accessed 11 February 2014).

15. Hull BP, Deeks SL, McIntyre PB. The Australian Childhood Immunisation Register-A model for universal immunisation

悉尼西部一个太平洋岛屿社区麻疹暴发的应对

ሑ

2005

2010

2013

323

2011

2012

2012

168

2011

26

46%

Blacktownഄᮍᬓᑰऎᰃᮄफ࿕ᇨ຿᳔໻ⱘϔϾऎ

ᙝሐ㽓䚼ϔϾ໾ᑇ⋟ቯቓ⼒ऎ咏⮍ᲈথⱘᑨ ᇍ˖⼒ऎ䆓䇜Փᬭූ៤Ў᥹⾡䮼䆞

Nicola Scott

ˈSalwa Gabriel

ˈVicky Sheppeard

ˈAlisa Peacock

ˈCaroline Scott

ˈKristina Flego

ˈ Bradley Forssman

੠Holly Seale

2011

2012

1

> 1 9

2013

2

MMR

㒧ᵰ

12ৡ⼒ऎখࡴ㗙Ё᳝10ৡᰃᴹ㞾㧼ᨽѮ㕸ቯˈ1ৡᴹ

3

2

2

ᮍ⊩

2013ᑈ៥Ӏ䞛⫼ञ㒧ᵘᓣ䯂ोᇍ໾ᑇ⋟ቯቓⱘ⼒ऎ៤

80%ⱘখࡴ㗙ড作њⶹᚙৠᛣкˈ✊ৢⷨお㗙Ϣখࡴ

QSR

NVIVO10

2012ᑈ咏⮍ᲈথЁফᕅડ᳔໻ⱘҎ㕸ˈ಴ℸҪӀᰃ㸹

Ѹ⌕

ᖭ⹠ⱘ⫳⌏

ᨀ䖕

…

70

ACIR

MMR

C

63

7–17

12

10–29

20

C

7–27

16

C

10–33

20

䅼䆎

1. 2013

Holly Seale

1012631

Scott N et al. Responding to a measles outbreak in a Pacific island community in western Sydney: community interviews led to church-based immunization clinics.

Western Pacific Surveillance and Response Journal, 2015, 6(2):51–57. doi:10.5365/wpsar.2014.5.3.004

খ㗗᭛⤂

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