湖南省1991～2000年消灭脊髓灰质炎监测  

Surveillance report on polio eradication in Hunan province, 1991～2000

作　　者：李俊华[1] 王世清[1] 李树民[1] 张红[1] 李放军[1] 陈长[1] 黄端雯[1] 唐蕊研[1] 

机构地区：[1]湖南省疾病预防控制中心,湖南长沙410005

出　　处：《疾病控制杂志》2002年第1期17-19,共3页Chinese Journal of Disease Control and Prevention

摘　　要：目的　为证实湖南省消灭脊髓灰质炎 (脊灰 )提供依据。方法　通过急性弛缓性麻痹 (AFP)监测系统 ,发现、报告和调查、随访所有的 AFP病例 ,在麻痹 14 d内采集双份合格的粪便标本作脊灰病毒分离培养 ,综合病历、流行病学、实验结果等对每例 AFP病例给予分类诊断。结果　 1991年湖南省开始建立AFP病例的监测系统 ,到 2 0 0 0年监测系统共报告 AFP病例 175 2例 ,自 1995年 15 a以下儿童非脊灰AFP报告发病率达到 1/ 10万的目标 ,1997年起双份合格粪便标本采集率达到 80 % ,1998年监测系统指标全部达到 WHO和卫生部标准 ;对 16 17例 AFP病例及其接触者粪便标本进行了病毒分离定型 ,病毒分离阳性率为 2 8.30 % ,到 2 0 0 0年已连续 7年未发现脊灰野病毒。结论　湖南省通过多年的免疫活动和监测结果表明 。Objective To offer the evidence of polio eradication in Hunan province. Methods All the Acute Flaccid Paralysis(AFP) cases were found, reported, investigated and followed up by using the AFP surreillance system. Results The AFP case surveillance system in Hunan Province was established in 1991, and the systematic surveillance network had reported 1,752 AFP cases by 2000. Since 1995, case report rate of non polio AFP among children under 15 had reached 1/100,000, and since 1997, the collection rate of qualified double stool samples had reached 80%. In 1998, the entire surveillance index reached the criteria of WHO and that of the Ministry of Health of China. By 2000, it had been consecutively 7 years that no wild poliovirus was found. Conclusions The spread of wild poliovirus has been successfully intervened in Hunan province.

关 键 词：脊髓灰质炎 预防 控制 湖南 流行病学 监测 

分 类 号：R512.401[医药卫生—内科学]