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1995年全国急性弛性麻痹(AFP)病例监测系统共报告AFP病例4801例,比1990年增加34.6%。全国共有1883个县(区、市、旗,下同)报告了AFP病例,占全国县数的的66.4%。全国进行含零病例报告的县除11、12份月外,均超过全国县数的80%。1995年临床确诊脊髓灰质炎(脊灰)168例,分布于全国150个县。1995年15岁以下儿童AFP病例报告发病率为1.51/10万,非脊灰AFP病例报告发病率为1.46/10万,自AFP病例监测系统建立以来首次达到世界卫生组织(WHO)推荐的1/10万的敏感性指标。AFP病例14天内双份粪标本采集率为75%,48小时内调查率为98%。AFP病例就诊后报告的及时率仍有待进一步提高。非AFP病例的存在需引起足够重视。今后应在保持AFP病例监测系统敏感性同时,强调监测系统特异性,确保监测系统各个环节的及时性,提高整体监测水平和质量。
In 1995, the national Acute Paralysis (AFP) case monitoring system reported a total of 4,801 AFP cases, an increase of 34.6% over 1990. A total of 1883 counties (districts, cities, banners, the same below) reported AFP cases, accounting for 66.4% of the total number of counties in the country. Counties with zero case reports nationwide numbered more than 80% of the national counties except for 11,12 months. In 1995, 168 cases of poliomyelitis (poliomyelitis) were clinically diagnosed, which were distributed in 150 counties nationwide. The incidence of AFP cases in children under 15 years of age in 1995 was 1.51 / 100,000. The reported incidence of non-polio AFP cases was 1.46 / 100,000. The first AFP case surveillance system has reached the World Health Organization (WHO) Recommended 1/10 million sensitivity indicators. AFP cases within 14 days double fecal specimen collection rate of 75%, within 48 hours, the survey rate was 98%. Timeliness of reporting after AFP treatment remains to be further improved. The existence of non-AFP cases need to pay enough attention. In the future, while maintaining the sensitivity of the AFP case monitoring system, the system specificity should be monitored to ensure the timeliness of all aspects of the monitoring system and to improve the overall monitoring level and quality.