潍坊市2001—2012年急性弛缓性麻痹病例流行病学分析及监测系统运行情况评价

发布时间：2018-05-15 04:42

本文选题：脊髓灰质炎 + 急性弛缓性麻痹　；参考：《现代预防医学》2014年08期

【摘要】：目的分析潍坊市2001-2012年急性弛缓性麻痹(Acute Flaccid Parelysis,AFP)病例流行病学特征,评价监测系统运行情况。方法采用描述流行病学方法,分析潍坊市AFP病例流行病学特征;按照世界卫生组织(WHO)和卫生部规定的各项监测指标,评价监测系统运行情况。结果潍坊市2001-2012年共报告AFP病例314例。根据病毒学诊断标准,314例均为非脊髓灰质炎(脊灰)(Non-Polio,NP)AFP(NPAFP)病例。AFP病例报告发病率在1.52/10万~2.40/10万之间,年平均报告发病率2.09/10万。AFP发病者中以5岁以下儿童为主,占76.11%。病例中服苗史≥3剂次285例,占90.76%。合格粪便样本采集率为93.63%。从37例AFP病例粪便样本中分离到非脊灰肠道病毒(Non-Polio Enterovirus,NPEV),分离率11.78%。结论潍坊市2001-2012年AFP病例监测系统各项指标以市为单位,均达到WHO和卫生部要求。为保持无脊灰状态,应保持高水平脊灰疫苗免疫接种率,提高AFP病例监测系统质量。
[Abstract]:Objective to analyze the epidemiological characteristics of acute flaccid paralysis (Flaccid) in Weifang from 2001 to 2012, and to evaluate the operation of the surveillance system. Methods the epidemiological characteristics of AFP cases in Weifang were analyzed by descriptive epidemiology method, and the operation of the surveillance system was evaluated according to the monitoring indexes stipulated by WHO and the Ministry of Health. Results 314 cases of AFP were reported in Weifang from 2001 to 2012. According to the criteria of virological diagnosis, 314 cases were non-Polio (Non-Poliositis) cases. The reported incidence of AFP cases was between 152 / 100 000 and 240 / 100 thousand. The average annual reported incidence of AFP was 20.9% / 100 000, mainly in children under 5 years old, accounting for 76.11%. 285 cases (90.76%) were treated with more than 3 doses of vaccine. The collection rate of qualified fecal samples was 93.63. Non-Polio EnterovirusNPEV was isolated from fecal samples of 37 cases of AFP, and the isolation rate was 11.78%. Conclusion the indexes of AFP surveillance system in Weifang from 2001 to 2012 are all in line with the requirements of WHO and Ministry of Health. In order to maintain poliomyelitis status, we should maintain high immunization coverage rate of polio vaccine and improve the quality of AFP case surveillance system.
【作者单位】：潍坊市疾病预防控制中心;潍坊市妇幼保健院;
【分类号】：R181.3;R512.4

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