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目的评价龙岩市2006~2008年急性弛缓型麻痹(AFP)病例监测情况,维持无脊髓灰质炎状态。方法采用描述流行病学分析方法。结果2006~2008年AFP病例监测系统共报告非脊灰AFP病例28例,<15岁儿童非脊灰AFP病例报告发病率2006年为1.90/10万,2007年为1.95/10万, 2008年为1.57/10万,但个别县出现监测医院AFP病例报告不及时与全县年度无AFP病例报告。所有病例中分离到Ⅰ型脊灰疫苗株变异病毒1例,Ⅱ型疫苗株病毒1例,Ⅰ+Ⅱ混合型疫苗株病毒1例,并检测到非脊灰肠道病毒3例。结论龙岩市AFP监测系统各项监测指标均达到卫生部规定的指标,应继续保持高水平的免疫接种率,进一步提高AFP病例监测系统的敏感性、及时性,巩固无脊髓灰质炎成果。
Objective To evaluate the surveillance of acute flaccid paralysis (AFP) cases in Longyan City from 2006 to 2008 and to maintain polio-free status. Methods Describe methods of epidemiological analysis. Results AFP case surveillance system from 2006 to 2008 were reported in 28 cases of non-polio AFP cases. The incidence of non-polio AFP cases in children <15 years old was 1.90 / lakh in 2006 and 1.95 / lakh in 2007, respectively 1.57 / 100000, but the individual county appears to monitor the hospital AFP case report is not timely with the county annual non-AFP case report. In all the cases, one isolate of type Ⅰ poliovirus was isolated, one was type Ⅱ, one was type Ⅰ + Ⅱ, and 3 were non-polio enterovirus. Conclusion All indicators of AFP monitoring system in Longyan City meet the targets set by the Ministry of Health. A high level of immunization coverage should be maintained to further improve the sensitivity and timeliness of AFP surveillance system and to consolidate polio-free results.