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目的分析晋江市急性弛缓性麻痹(AFP)病例监测情况,为消灭脊髓灰质炎(以下简称脊灰)提供理论依据。方法对晋江市2001~2012年病例监测系统报告的AFP病例进行流行病学分析,对监测系统运转情况进行评价。结果晋江市2001~2012年共报告AFP病例115例,男、女比例为2.19∶1,<15岁以下儿童年平均报告发病率为3.86/10万,48h调查率为100%,合格粪便采集率为93.91%,合格随访率为100%,脊灰病毒(疫苗株)分离率为4.35%。脊灰疫苗免疫史≥3次的95例(82.61%),≤2次和不详史20例(17.39%)。结论晋江市连续18年维持无脊灰状态,各项监测指标均达到卫生部要求。今后应进一步完善和加强AFP主动监测系统,应加强重点人群常规免疫和查漏补种工作,更好稳定无脊灰状态。
Objective To analyze the surveillance of acute flaccid paralysis (AFP) cases in Jinjiang and provide theoretical basis for the eradication of polio (hereinafter referred to as polio). Methods AFP cases reported from case surveillance system in Jinjiang City from 2001 to 2012 were analyzed by epidemiology, and the operation of monitoring system was evaluated. Results A total of 115 cases of AFP were reported in Jinjiang from 2001 to 2012, with a male-to-female ratio of 2.19:1. The average annual incidence of children under 15 years old was 3.86 / 100 000 and the surveyed rate was 100% 93.91%. The qualified follow-up rate was 100%. The isolation rate of poliovirus (vaccine strain) was 4.35%. There were 95 cases (82.61%), ≤2 cases and 20 cases (17.39%) with history of polio vaccine immunization ≥3 times. Conclusions Jinjiang City maintained its poliomyelitis-free status for 18 consecutive years and all monitoring indicators met the requirements of the Ministry of Health. In the future, the AFP initiative monitoring system should be further improved and strengthened, routine immunization and leak detection and replanting of key populations should be strengthened so as to be more stable and polluting.