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本文对全国１９９７年急性弛缓性麻痹（ＡＦＰ）病例监测系统现状及主要问题进行了探讨。１９９７年全国ＡＦＰ病例报告发病率１．５８／１０万，１５岁以下儿童ＡＦＰ病例报告发病率１．５７／１０万；全国有１９４９个县（区、市、旗，下同）报告ＡＦＰ病例；全年含零病例报告的县保持在９０％左右；监测系统的其余监测指标也均达到且维持在消灭脊髓灰质炎（脊灰）证实要求的水平。这表明我国已步入消灭脊灰证实的准备阶段。需要引起关注的是，监测系统及时性进一步提高的问题，如报告的滞后、随访表发送延迟等，依然未得到根本改善。
This article discusses the status quo and main problems of acute flaccid paralysis (AFP) case surveillance system nationwide in 1997. In 1997, the incidence of AFP cases in China was 1.58 / 100,000. The incidence of AFP cases in children under 15 years old was 1.57 / 100,000. AFP cases were reported in 1949 counties (districts, cities and districts) The number of counties with zero case reports remained at around 90% throughout the year; the remaining monitoring indicators of the monitoring system also met and maintained the level required for poliomyelitis (polio) elimination. This shows that our country has stepped into the preparatory phase of eliminating polio. What needs to be of concern is that the problems of further improvements in the timeliness of the monitoring system, such as the lag in reporting and the delay in the delivery of follow-up forms, have not yet been fundamentally improved.