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(单词翻译:双击或拖选)
RENEE MONTAGNE, HOST:
And as we've been reporting this week, Pakistan is one of the last places in the world where children are still getting polio. Vaccine1 programs face intense and sometimes violent opposition2. Of course it's crucial for health workers to convince parents to let their children receive a vaccine for polio, just like it would be in any country. So a team of Harvard researchers recently did a poll to find out if parents in Pakistan are part of the problem. NPR's Nurith Aizenman reports that the results stunned3 those researchers.
NURITH AIZENMAN, BYLINE4: Imagine you're a parent in northwest Pakistan. You live in a remote village - think mud huts on mountaintops - and every few weeks, some strangers carrying vials of an odd liquid come knocking on your door.
SONA BARI: Frankly5, if someone came to my house and said, you don't know me from Adam, but I'd like to vaccinate6 your child, I wouldn't let them.
AIZENMAN: That's Sona Bari of the World Health Organization, a key player in a decades long campaign to stamp out polio. And yet that effort's success depends on these parents in Pakistan saying, yes. The weirdness7 of strangers showing up at your door isn't the only hurdle8. In Pakistan's Northwest tribal9 areas, where most of the polio cases are found, parents face a lot of pressure to say no. I'm talking about the Taliban.
(SOUNDBITE OF ARCHIVED RECORDING)
CROWD: (Chanting) USA, USA.
AIZENMAN: Remember in 2011 when U.S. forces tracked down and killed Osama bin Laden in Pakistan. Well, it soon came out that they had used a vaccination12 campaign as cover during the hunt. Now, it was for hepatitis not polio. Still, the Taliban was furious. Here's Sherine Guirguis of UNICEF which co-sponsored the poll with Harvard.
SHERINE GUIRGUIS: There have been health worker attacks and there have been bans on polio campaigns for two years now. So there's this climate that we're working in.
AIZENMAN: More than 60 polio workers have been killed. And the Taliban still outright13 bans vaccinators from two areas where they have a lot control. The result of those bans, a surge in polio in that region, more than 50 kids paralyzed just this year. The message to parents from all this, don't even think of opening your door for a vaccinator14. And it's not just the Taliban. Across Pakistan, the revelation about the CIA's ploy15 created suspicion about what vaccinators are really up to.
UNIDENTIFIED MAN 2: (Sindhi spoken).
AIZENMAN: This is a preacher all the way in the Southwest of Pakistan. He's telling his congregation that polio vaccination program, its run by foreigners who are out to sterilize16 Muslim children. And UNICEF's Sherine Guirguis said that the pollsters they sent, they found that people have heard a lot of rumors17 like this.
GUIRGUIS: The vaccine is not halal, for example, or that it's not made with ingredients that they feel comfortable with.
AIZENMAN: Or worse, the vaccine gives your kids AIDS. On the plus side nationwide, only 1 in 10 parents thought the rumors might be true. And even in the Northwest tribal areas, only a third thought there might be something to the tales. But researchers say these rumors can still be a problem. Gillian SteelFisher of Harvard ran the poll.
GILLIAN STEELFISHER: Peopled don't necessarily have to please them in full, but you worry about that kind of atmosphere of misunderstanding about the vaccine.
AIZENMAN: That's because of another challenge facing the polio eradication18 effort. With other vaccine programs, it's enough to reach a good majority of kids. But when it comes to polio, health workers are trying to wipe this disease off the planet. So UNICEF's Sherine Guirguis says even reaching say 75 percent of kids isn't good enough.
GUIRGUIS: Polio's 100 percent program. You need to find every child living in the most far-flung area, living in the most conflict-affected area, living in the hardest-to-reach area.
AIZENMAN: And you don't just need to reach them once or even twice or even three times; you need to convince parents to let you vaccinate their child at least four times in a single year. That's what it takes to get full immunity19 with this vaccine. And when you keep showing up, parents might start to get exasperated20. Here's the World Health Organization's Sona Bari.
BARI: So this is one of the few services they're seeing come to their door for free, and yet it's coming over and over, which is something that's hard for them to understand.
AIZENMAN: See, polio is a big priority for the international community, but it's become rare enough that in Northwest Pakistan a lot of these parents haven't ever seen it. It's not really on their minds. Harvard's Gillian SteelFisher says they brought up a lot of other concerns.
STEELFISHER: They're facing the most fundamental challenges, things like clean water.
AIZENMAN: SteelFisher's team also found that a lot of parents don't think polio is that serious, that the paralysis21 it causes is curable - it isn't. And when they ask parents - does your child have to take the vaccine every time it's offered? - a lot of parents said, yes, always.
STEELFISHER: But we also had a sizable share of parents who said, sometimes, not necessarily every time.
AIZENMAN: And yet for all of these obstacles, when the pollsters asked parents in the Northwest tribal areas the central question - the question that was most important to their poll - if a health worker came to your door, did you let them vaccinate your child? - practically every parent 95 percent said yes. Nurith Aizenman, NPR News.
点击收听单词发音
1 vaccine | |
n.牛痘苗,疫苗;adj.牛痘的,疫苗的 | |
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2 opposition | |
n.反对,敌对 | |
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3 stunned | |
adj. 震惊的,惊讶的 动词stun的过去式和过去分词 | |
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4 byline | |
n.署名;v.署名 | |
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5 frankly | |
adv.坦白地,直率地;坦率地说 | |
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6 vaccinate | |
vt.给…接种疫苗;种牛痘 | |
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7 weirdness | |
n.古怪,离奇,不可思议 | |
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8 hurdle | |
n.跳栏,栏架;障碍,困难;vi.进行跨栏赛 | |
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9 tribal | |
adj.部族的,种族的 | |
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10 bin | |
n.箱柜;vt.放入箱内;[计算机] DOS文件名:二进制目标文件 | |
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11 laden | |
adj.装满了的;充满了的;负了重担的;苦恼的 | |
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12 vaccination | |
n.接种疫苗,种痘 | |
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13 outright | |
adv.坦率地;彻底地;立即;adj.无疑的;彻底的 | |
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14 vaccinator | |
牛痘接种员,种痘刀 | |
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15 ploy | |
n.花招,手段 | |
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16 sterilize | |
vt.使不结果实;使绝育;使无效;杀菌,消毒 | |
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17 rumors | |
n.传闻( rumor的名词复数 );[古]名誉;咕哝;[古]喧嚷v.传闻( rumor的第三人称单数 );[古]名誉;咕哝;[古]喧嚷 | |
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18 eradication | |
n.根除 | |
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19 immunity | |
n.优惠;免除;豁免,豁免权 | |
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20 exasperated | |
adj.恼怒的 | |
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21 paralysis | |
n.麻痹(症);瘫痪(症) | |
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