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目的 评价江西省2 0 0 3年急性弛缓性麻痹(AFP)病例监测系统的运转情况。方法 对报告的AFP病例进行描述流行病学分析。结果 江西省2 0 0 3年AFP病例监测系统共报告2 38例非脊髓灰质炎(脊灰)AFP病例,1例临床符合脊灰,未发现本土或输入性脊灰野病毒病例。<15岁儿童非脊灰AFP病例报告发病率为2 . 16 /10万,合格粪便标本采集率为80 . 6 7%。结论 为了继续保持无脊灰状态,应加强对县级及以下医务人员的培训,提高AFP病例的报告发病率和合格粪便标本的采集率。同时加强对薄弱地区的主动搜索和常规免疫接种管理,保持口服脊灰疫苗高免疫接种率。
Objective To evaluate the functioning of surveillance system for acute flaccid paralysis (AFP) in Jiangxi Province in 2003. Methods The reported AFP cases were described by epidemiological analysis. Results A total of 238 cases of non-poliomyelitis (polio) AFP were reported in AFP surveillance system in 2003 in Jiangxi Province. One case of poliovirus was clinically polio-free and no cases of local or imported wild-type poliovirus were found. The incidence of non-polio AFP cases in children <15 years old was 2.16 / 100,000, and the sampling rate of qualified stool samples was 80.67%. Conclusion In order to maintain the status of polio-free status, training should be strengthened for medical staff at the county level and below to improve the reported incidence of AFP cases and the collection rate of qualified stool specimens. At the same time, we should strengthen the active search and routine immunization management in the weak areas and maintain the high immunization rate of oral poliovirus vaccine.