摘要
目的了解眉山市2000年实现无脊灰目标证实后急性迟缓性麻痹(AFP)病例监测系统运转情况。方法应用中国免疫规划监测信息管理系统和Excel软件对数据进行统计。结果2001-2007年共报告AFP病例111例,<15岁儿童AFP病例年均报告发病率2.71/10万,48h调查率94.59%,14d内双份合格大便采集率90.09%,7d内大便送达率96.39%,60～75d随访率95.49%。7年中各区县均有3个以上指标不合格;111例AFP病例中,发病无明显季节性,男女之比1.9:1,5岁以下占65.77%,无免疫史和免疫史不详占12.61%;非脊灰肠道病毒感染占14.41%,格林巴利综合征(GBS)占22.52%,无高危AFP病例报告。AFP病例主动监测系统运转正常,脊灰疫苗免疫接种率在93%以上。结论眉山市2001-2007年继续保持无脊灰状态,各项监测指标均达到卫生部要求。今后仍需保持敏感的AFP病例监测系统,保持高水平的脊灰疫苗免疫接种率。
Objective To understand the operation of acute flaccid paralysis （AFP） case surveillance system after realizing the object of prolio-free status in Meishan city in 2000 so as to make the work of prolio-free status proceed. Method The data were statistically analysed by China national surveillance information management system on immunization program and Excel software. Results There were 111 cases of AFP reported during 2001 to 2007. The report revealed that the average incidence of AFP cases among children under 15 years old was 2. 71 / 100 000, investigation rate within 48 hours was 94. 59%, the double adequate specimen collection rate within 14 days was 90. 09%, specimen delivery rate within 7 days was 96. 39% and the feedback rate during 60 to 75 days was 95.49%. Over 3 unqualified indices were found in every district of the city of Meishan in the period of 7 years. According to these 111 AFP cases, it showed that there was no remarkable seasonal variation and with a sex ratio of 1.9 males to 1 female. Meanwhile, the cases among children under 5 years old took up 65. 77%, and 12. 61% were cases without or with adequate immunity. Prolio-free enterovirus infection cases occupied 14. 41%, and Guillain Barre syndrome（GBS） accounted for 22. 52%. No any highly critical cases were reported. The operation of censoring system to AFP cases was well and the rate of immunity to prolio was above 93%. Conclusion The prolio-free status was kept during the year of 2001 to 2007 in the city of Meishan and every censoring index was qualified to the requirements of WHO and Chinese Ministry of Health. Because of the different situation in every district, the sensitive censoring system is still needed in order to maintain the high-level rate of immunity to prolio.
出处
《预防医学情报杂志》
CAS
2009年第5期403-405,共3页
Journal of Preventive Medicine Information
关键词
急性驰缓性麻痹
流行病学分析
监测系统评价
Acute flaccid paralysis
Epidemiological analysis
Surveillance system evaluation
