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European Occupational Health Series : 1994-97; Prevention in Primary Care, (Nehaps) National Environmental Health Action Plans, Volume 02 02 09: Noise Report on a World Health Organization Coordination Meeting of Experts

By World Health Organization

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Book Id: WPLBN0000132920
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Reproduction Date: 2005



Title: European Occupational Health Series : 1994-97; Prevention in Primary Care, (Nehaps) National Environmental Health Action Plans, Volume 02 02 09: Noise Report on a World Health Organization Coordination Meeting of Experts  
Author: World Health Organization
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Language: English
Subject: Health., Public health, Wellness programs
Collections: Medical Library Collection, World Health Collection
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Publisher: World Health Organization

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Health Organization, B. W. (n.d.). European Occupational Health Series : 1994-97; Prevention in Primary Care, (Nehaps) National Environmental Health Action Plans, Volume 02 02 09. Retrieved from https://self.gutenberg.org/


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Medical Reference Publication

Excerpt
Introduction Policies for the control or eradication of an infectious disease presume an ability to break the chain of transmission and in this paper I assume that this can be done by means of an available vaccine. Policies for the control or eradication of a vaccine-preventable disease also presume the need for government intervention. Indeed, to an economist, control is perhaps best defined as a public policy that restricts the circulation of an infectious agent beyond the “competitive” level — that is, beyond the level that would result from spontaneous, individual behaviour to protect against infection. Elimination is achieved by high control. (In the language of mathematical epidemiology, the reproductive rate of the disease must be lowered to one (1).) Control and elimination are achieved locally, whereas eradication is global. Control is always feasible (by quarantine if not by immunization), though easier to achieve in some environments than in others, with differences in climate, population density, infrastructure, culture and governance being especially important. Elimination, by contrast, is not always feasible; and eradication is even harder to achieve. Eradication requires that a disease be eliminated everywhere (and at the same time), and so it succeeds or fails depending on whether the target disease can be eliminated from the locality with the least favourable conditions. In the current effort to eradicate polio,

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