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(单词翻译:双击或拖选)
In the early 1950s a worldwide epidemic1 of polio was in full swing. In the United States alone, 58,000 cases of this highly infectious and crippling disease were reported in 1952. Vaccines3 - which can prevent, but not cure polio - halted its spread in the U.S. and much of the world.
Since the Global Polio Eradication4 Initiative was launched more than 20 years ago, cases of the highly infectious and crippling disease have decreased by 99 percent. It was at about that time that Ellyn Odgen entered the field of public health with the Peace Corps5 in Papua New Guinea.
Getting started
For two years she ran a provincial6 disease control program for 80,000 people, managing on a limited budget, with scarce medical supplies and drugs.
Meetings with community leaders provide an opportunity for dialogue with polio experts in Uttar Pradesh, India.
"I ended up trying to work around some of those obstacles and reach out to women in particular through non-governmental groups, through smaller women's clubs and try to provide information in a more sensitive way that would bring them in for services without setting them up to be ostracized7 by their community," says Ogden.
The experience taught her "to be flexible, to learn to live with ambiguity8 and to keep an open mind."
After leaving the Peace Corps, Odgen continued to work on international public health projects.
In 1997, she took the reins9 of the U.S. Agency for International Development (USAID) polio program, coordinating10 U.S. efforts with health institutions, governments, community-based groups and donors11 around the world.
Ellyn Ogden and Dr. Saurabh Sharma, WHO Surveillance Focal Point/Bihar, check the fingers of every child in the market for ink-marks - a sign that the child was immunized during the round.
Odgen says great strides have been made since 1988, when the World Health Assembly targeted polio for eradication. The disease then was endemic in 125 countries. "Now we are only in four countries that have never stopped polio: India, Nigeria, Pakistan and Afghanistan, and a 99 percent reduction in cases and a huge restriction12 geographically13 of where the virus is located," she says.
On the road
Ellyn Odgen spends a lot time abroad.
So much so that sometimes her husband and their two sons go with her. She manages large grants, attends mass immunizations, visits laboratories and supervises work in many countries.
She says war is no excuse to stop immunization and uses well-honed diplomatic skills and technical know-how14 to forge ahead. In 2009, Odgen was honored with the USAID Award for Heroism15.
In 2000, rebel factions16 in the Congo agreed to a temporary ceasefire so that more than two million children could be immunized.
"I was seen as a credible17 emissary to negotiate the Days of Tranquility in the eastern Congo among the main warring factions. I had been discussing ceasefires with some of the key forces in Angola when Jonas Savimbi was still there. And, even today, I have an opportunity in Afghanistan to see where we can allow safe access and the vaccinators safe passage even thought there is ongoing18 conflict."
The vaccinators
Odgen works in remote areas, in crowded urban centers and slums. Her first question, like the one she asked of textile workers at a dye pit in Nigeria, is always whether their children have been vaccinated19. "And they said, 'No,'" she says. "There's never been a vaccination20 team here. And this is after almost 10 years of [vaccination] campaigns." The children in this forgotten slum were vaccinated the next day.
So far in 2010, 71 polio cases have been confirmed compared to 155 over the same period last year. But for each of those cases, Odgen says as many as 1,000 children carry the virus, but show no symptoms and can infect others.
Ellyn Ogden and Dr. Baskar, WHO Surveillance Officer in Uttar Pradesh India, locate twins that were both affected21 by polio - a devastating22 blow to the family. Guidance was provided on how to care for the children to avoid deformities and where to go for additional rehabilitation23.
Ogden cautions that the failure to eradicate24 polio would be detrimental25 to public health, not only in communities where polio still exists, but worldwide. "Because if we can't get this simple 13-cent vaccine2 to all of the children in the world, how are we going to bring the more difficult things to them."
Odgen says the fight to eradicate polio is one children of the world deserve. "It would rescue four million lives over the next 20 years," she says, "and It is our moral obligation to do so."
1 epidemic | |
n.流行病;盛行;adj.流行性的,流传极广的 | |
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2 vaccine | |
n.牛痘苗,疫苗;adj.牛痘的,疫苗的 | |
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3 vaccines | |
疫苗,痘苗( vaccine的名词复数 ) | |
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4 eradication | |
n.根除 | |
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5 corps | |
n.(通信等兵种的)部队;(同类作的)一组 | |
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6 provincial | |
adj.省的,地方的;n.外省人,乡下人 | |
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7 ostracized | |
v.放逐( ostracize的过去式和过去分词 );流放;摈弃;排斥 | |
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8 ambiguity | |
n.模棱两可;意义不明确 | |
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9 reins | |
感情,激情; 缰( rein的名词复数 ); 控制手段; 掌管; (成人带着幼儿走路以防其走失时用的)保护带 | |
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10 coordinating | |
v.使协调,使调和( coordinate的现在分词 );协调;协同;成为同等 | |
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11 donors | |
n.捐赠者( donor的名词复数 );献血者;捐血者;器官捐献者 | |
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12 restriction | |
n.限制,约束 | |
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13 geographically | |
adv.地理学上,在地理上,地理方面 | |
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14 know-how | |
n.知识;技术;诀窍 | |
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15 heroism | |
n.大无畏精神,英勇 | |
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16 factions | |
组织中的小派别,派系( faction的名词复数 ) | |
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17 credible | |
adj.可信任的,可靠的 | |
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18 ongoing | |
adj.进行中的,前进的 | |
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19 vaccinated | |
[医]已接种的,种痘的,接种过疫菌的 | |
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20 vaccination | |
n.接种疫苗,种痘 | |
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21 affected | |
adj.不自然的,假装的 | |
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22 devastating | |
adj.毁灭性的,令人震惊的,强有力的 | |
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23 rehabilitation | |
n.康复,悔过自新,修复,复兴,复职,复位 | |
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24 eradicate | |
v.根除,消灭,杜绝 | |
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25 detrimental | |
adj.损害的,造成伤害的 | |
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