RESUMO
The early impact of the expanded programme on immunization (EPI) in reducing morbidity from diphtheria was evaluated in the province of Yogyakarta, Java, Indonesia. Since 1980, coverage of two doses of diphtheria-tetanus-pertussis (DTP) immunization has been greater than 60% in Yogyakarta. The morbidity rate for diphtheria for children aged 0-4 years decreased from 4.3 per 100 000 population in 1978-79 to 1.7 per 100 000 in 1981-82, a reduction of 60%. In contrast, the morbidity rate for children aged 5-9 years remained relatively constant over the 5-year period. The EPI programme has therefore had a demonstrable effect on 0-4-year-olds in Yogyakarta.
Assuntos
Toxoide Diftérico/administração & dosagem , Difteria/prevenção & controle , Vacina contra Coqueluche/administração & dosagem , Toxoide Tetânico/administração & dosagem , Criança , Pré-Escolar , Difteria/epidemiologia , Vacina contra Difteria, Tétano e Coqueluche , Combinação de Medicamentos/administração & dosagem , Humanos , Indonésia , LactenteRESUMO
The influx of refugees from Vietnam had created some consequences especially in transmission of certain communicable diseases. During several months of their first arrival, most of illness (90%) were caused by upper respiratory tract infections, skin diseases and diarrhoeal diseases. Several efforts and measures had been done by the Government of Indonesia in collaboration with several agencies i.e. P3V, PMI, UNHCR, W.VI, etc. As a result of the activities, a reduction of diarrhoeal diseases, has been observed. There was no cholera or typhoid cases detected through routine surveillance activities or by special survey. If we examine the morbidity and mortality pattern of refugees or we are comparing with Indonesian figures, it can be concluded that diarrhoeal diseases is not a significant health problem among refugees in Indonesia.