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目的评估泉州市辖区脊髓灰质炎野病毒输入传播风险,提出科学防控脊髓灰质炎疫情的关键点和应急策略。方法根据人群免疫、AFP病例监测、输入风险情况等指标综合分析评价,采用数理综合法评估泉州市各市区县脊髓灰质炎病毒输入与传播风险。结果综合评分的上、下四分位数分别为P25=8.0和P75=15.25,泉州市辖12个县市区中安溪县、石狮市和惠安县的综合分分别为21分、16分和16分,为高风险;南安市、永春县、晋江市和德化县分别为15分、13分、10分、10分,为中风险;鲤城区、泉港区和台商投资区各8分,丰泽区和洛江区均为0分,为低风险。结论泉州市存在脊灰野病毒输入传播的风险点,对此要建立“以WPV输入与传播风险评估为重点,强化一线医务人员和检疫人员流行病学观念,加强适龄儿童基础免疫和AFP病例监测并重”的应急策略。
Objective To evaluate the risk of poliovirus wild-type transmission in Quanzhou, and to point out the key points and emergency strategies for prevention and control of poliomyelitis. Methods According to the comprehensive analysis and evaluation of population immunization, AFP case monitoring, input risk and other indicators, mathematical and synthetic methods were used to evaluate the poliovirus input and transmission risks in all districts and counties in Quanzhou. Results The upper and lower quartiles of the composite score were P25 = 8.0 and P75 = 15.25 respectively. The comprehensive scores of Zhongxi, Shishi and Huian counties in 12 counties of Quanzhou were 21, 16 and 16 respectively Points for high risk; Nanan, Yongchun County, Jinjiang City and Dehua were 15 points, 13 points, 10 points, 10 points, for the risk; Licheng District, Quangang District and Taiwan Investment Zone 8 points , Fengze District and Luojiang District are 0 points for low risk. Conclusion The risk of poliovirus input and transmission exists in Quanzhou, so we should establish “focus on the risk assessment of WPV input and transmission, strengthen the epidemiological concepts of frontline medical staff and quarantine personnel, and strengthen the monitoring of basic immunization and AFP in school-age children Both ”and" emergency strategy.