滨州市2001～2010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  

Epidemiologic Analysis and Evaluation of Surveillance System Operation of Acute Flaccid Paralysis in Binzhou City from 2001 to 2010

作　　者：张志广[1] 曹国强[1] 王飞[1] 张其雷[1] 李阳[1] 王孟杰[1] 贾荣盛[1] 吕茂军[1] 

机构地区：[1]滨州市疾病预防控制中心,山东滨州256618

出　　处：《中国疫苗和免疫》2012年第4期340-342,共3页Chinese Journal of Vaccines and Immunization

摘　　要：目的分析滨州市2001～2010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,分析滨州市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。结果滨州市2001～2010年共报告AFP病例253例。根据病毒学诊断标准,253例均为非脊髓灰质炎(脊灰)(Non-polio,NP)AFP(NPAFP)病例。2007年在AFP病例常规监测中发现1株疫苗衍生脊灰病毒(Vaccine-devied Poliovirus,VDPV),未发现VDPV或本土或输入脊灰野病毒病例。各年度含零病例报告的县、乡每月均达100%;各年度<15岁儿童NPAFP病例报告发病率均>1/10万,年平均报告发病率4.48/10万;年度合格粪便标本采集率均>86%。结论滨州市2001～2010年AFP病例监测系统各项监测指标均达到WHO和卫生部要求,AFP病例监测系统运转良好并及时发现了VDPV感染者。Objective To analyze the epidemiologic characteristics of acute flaccid paralysis （AFP） cases between 2001 and 2010, and to evaluate the performance of the AFP surveillance system in Binzhou. Methods Analyzing epidemic features of AFP by descriptive epidemiology and evaluating the performance of the AFP surveillance system using indicators recommended by the World Health Organization （WHO）and Ministry of Health （MOH） in China. Results 253 AFP cases were reported in Binzhou from 2001 to 2010 vaccine-derived polioviruses （VDPV） was found in AFP routine surveillance cases in 2007. No any indigenous or imported wild polio virus was found. 100% counties reported zero AFP case by month each year. The reported incidence of non-polio （NP）AFP （NPAFP）was 1 per 100,000 for children under 15 years old, the annual average reporting rate was 4.48 per 100,000, the collection rate of adequate stool specimens was 86%. Conclusion The AFP surveillance system ran effectively in Binzhou, all the surveillance indicator met the requirements of MOH in China and WHO. The VDPV can be found timely by the AFP surveillance system.

关 键 词：脊髓灰质炎 急性弛缓性麻痹 监测系统 流行病学分析 

分 类 号：R512.4[医药卫生—内科学]