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目的为保持高质量急性弛缓性麻痹(AFP)病例监测系统工作,维持无脊髓灰质炎(脊灰)状态。方法按照卫生部要求,开展口服脊灰疫苗(OPV)常规免疫、强化免疫和AFP病例监测工作。对结果应用EPI info和Excel软件统计分析。结果2003年AFP病例监测系统共报告AFP病例119例,分布在9个设区市的52个县(区、市),服苗史≥3次的101例,占84.9%,男女性别比为2.31∶1,<15岁儿童非脊灰AFP病例报告发病率为1.49/10万,合格粪便标本采集率为88.2%。OPV常规免疫报告接种率为94.4%,强化免疫或查漏补种报告接种率96.0%,强化免疫活动快速评估接种率为第1轮86.5%、第2轮87.7%。结论福建省2003年AFP病例监测系统各项监测指标,以省为单位均达到标准,为保持无脊灰状态,应继续提高并保持高水平OPV免疫接种率,保持高质量AFP病例监测的敏感性,巩固无脊灰成果。
Objective To maintain a polio-free (polio) condition in high-quality AFP case surveillance systems. Methods According to the requirements of the Ministry of Health, routine immunization, intensive immunization and AFP surveillance of oral polio vaccine (OPV) were carried out. Apply EPI info and Excel software statistical analysis to the results. Results AFP case surveillance system in 2003 reported a total of 119 cases of AFP cases, which were distributed in 52 counties (districts and cities) in 9 districts and cities. There were 101 cases (≥ 84.9%) with clothing history ≥ 3 times and the sex ratio was 2.31 : 1. The incidence of non-polio AFP cases in children <15 years old was 1.49 per 100 000, and that of qualified stool samples was 88.2%. The routine immunization coverage rate of OPV was 94.4%, that of intensive immunization or leak detection was 96.0%, and that of intensive immunization was 86.5% in the first round and 87.7% in the second round. Conclusion The monitoring indicators of AFP case surveillance system in Fujian Province in 2003 all met the criteria by province. In order to maintain polio-free status, we should continue to raise and maintain a high level of OPV vaccination rate and maintain the sensitivity of high-quality AFP surveillance , Consolidate the polio results.