上海市2003年维持无脊髓灰质炎状态工作进展与评价  

Evaluation on the Kecping Polio-free Status in Shanghai in 2003

作　　者：李沪[1] 杨建萍[1] 胡家瑜[1] 施燕[1] 李秀珠[1] 丁晓光[1] 刘敏勇[1] 

机构地区：[1]上海市疾病预防控制中心,上海200336

出　　处：《中国计划免疫》2005年第6期439-441,共3页Chinese Journal of Vaccines and Immunization

摘　　要：目的对上海市2003年维持无脊髓灰质炎(脊灰)状态工作进行评价。方法描述流行病学分析。结果上海市2003年急性弛缓性麻痹(AFP)病例监测系统共报告AFP病例30例,<15岁儿童非脊灰AFP病例报告发病率为1.81/10万,合格粪便标本采集率96.66%,口服脊灰疫苗(OPV)常规免疫接种率>99%,两轮强化免疫服苗率均>95%。近年来,加强对外来流动人口的管理是免疫预防工作的重点,针对外来人口流动频繁、流动人口卫生保健意识差等特点,基层单位每季度开展查漏补种,及时发现免疫空白点,采取相应措施。结论上海市建立了有效的免疫屏障,阻断脊灰野病毒的输入和防止疫苗衍生脊灰病毒循环的发生。Objective To evaluate the work of keeping polio-free status in 2003 in Shanghai. Methods 30 acute flaccid paralysis （AFP） cases were reported. Results All the surveillance indicatiors reached the requirements of WHO： the reported incidence of non-polio AFP cases was 1.81 per 100 000 and the collection rate of adequate stool specimens was 96.6%. Although the OPV routine immunization coverage rate was above 99 %, we continued to carry out two rounds of supplementary immunization and 95% coverage of OPV immunization rate was achieved. Hereafter, strengthening administration on floating children especially where the prople＇s hygiene consciousness was weak＇and the populations were frequently floated was important. Conclusion It is necessary to establish the effective immune barrier immediately and exclude the import of wild-type poliovirus and circulation of vaccine-derived poliovirus in circumstance.

关 键 词：无脊髓灰质炎 急性弛缓性麻痹 强化免疫 外来流动人口 

分 类 号：R512.4[医药卫生—内科学]