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目的分析绵阳市急性迟缓性麻痹(AFP)病例流行病学特征及监测系统运转情况,指导维持该市无脊髓灰质炎(脊灰)工作。方法收集整理该市2007—2011年AFP病例个案调查表、随访表及其相关报表等资料,运用描述流行病学方法进行统计分析。结果绵阳市2007—2011年共计报告该地AFP病例103例,年平均报告发病率2.93/10万,监测系统的敏感性、及时性和完整性指标均超过卫生部规定标准。结论绵阳市AFP监测系统运转良好,但在病例报告的敏感性、及时性及个案调查质量上还有待提高,部分地区免疫规划工作还存在薄弱环节,脊灰野病毒输入性病例及脊灰疫苗相关病例风险依然存在。建议进一步加强健康教育宣传及相关技术培训。
Objective To analyze the epidemiological characteristics of acute delayed paralysis (AFP) cases in Mianyang City and the operation of monitoring system to guide the maintenance of poliomyelitis-free (poliomyelitis) -related work in the city. Methods AFP case-based questionnaire, follow-up table and related reports were collected from 2007 to 2011 in this city, and the descriptive epidemiological method was used for statistical analysis. Results A total of 103 cases of AFP were reported in Mianyang from 2007 to 2011, with an average annual incidence of 2.93 per 100 000. The sensitivity, timeliness and completeness of surveillance systems exceeded the standards prescribed by the Ministry of Health. Conclusions The AFP monitoring system in Mianyang City is working well. However, the sensitivity, timeliness and case-quality of case reports have yet to be improved. There are still some weak points in immunization planning in some areas. The incidence of poliovirus and related cases of poliovirus Risks still exist. Proposal to further strengthen health education and related technical training.