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目的对湖南省2004年继续保持无脊髓灰质炎(脊灰)状态进行评价。方法应用EPI info和中国免疫规划监测信息管理系统软件进行分析。结果湖南省2004年共报告急性弛缓性麻痹(AFP)病例198例,<15岁儿童非脊灰AFP病例报告发病率1.41/10万。AFP病例报告后48h内调查率90%,合格粪便标本采集率87%,粪便标本7d内送达率94%,AFP病例麻痹后75d内随访表送达率86%,各项监测指标均达到世界卫生组织和卫生部要求。湖南省2004年口服脊灰减毒活疫苗(OPV)常规免疫报告接种率99.23%。2004/2005年度全省122个县(市、区)均开展了两轮OPV强化免疫活动,第1轮应种儿童2 628 564人,实种2 430 592人,报告接种率92.47%;第2轮应种儿童2 684 142人,实种2 492 214人,报告接种率92.85%。结论湖南省2004年继续保持无脊灰状态。今后仍须保持敏感的AFP病例监测系统,保持高水平、高质量的OPV常规免疫和强化免疫活动。
Objective To evaluate the non-polio (polio) status of Hunan Province in 2004. Methods EPI info and China immunization program monitoring information management system software were used for analysis. Results A total of 198 acute flaccid paralysis (AFP) cases were reported in Hunan province in 2004, and the incidence of non-polio AFP cases in children <15 years old was 1.41 / 100 000. AFP cases within 48h after the survey rate of 90%, 87% of qualified stool specimens collected stool specimens within 7d delivery rate of 94%, AFP cases paralyzed 75d follow-up table delivery rate of 86%, the monitoring indicators have reached the world WHO and Ministry of Health request. Hunan Province in 2004 oral administration of live attenuated polio vaccine (OPV) routine immunization coverage of 99.23%. In 2004/2005, two rounds of OPV intensified immunization activities were conducted in 122 counties (cities and districts) in the province. There were 2,628,564 children in the first round with an actual population of 2 430 592 and the reported vaccination rate was 92.47%. In the second There were 2 684 142 children of the current round of seedlings and 2 492 214 of the actual seedlings, reporting a rate of 92.85%. Conclusions Hunan Province continued its polio-free status in 2004. In the future, it is still necessary to maintain a sensitive AFP case monitoring system and maintain high-level and high-quality OPV routine immunization and intensive immunization activities.