2012—2017年濮阳市急性弛缓性麻痹病例监测系统评价  

Evaluation of AFP surveillance system from 2012 to 2017 in Puyang City

作　　者：运玉霞[1] 李秋荣[1] 聂占普[1] 邓永村[1] 隋煜 YUN Yu-xia;LI Qiu-rong;N1E Zhan-pu;DENG Yong-cun;SUI Yu(Puyang Center for Disease Control and Prevention,Puyang 457000,Henan Province,China)

机构地区：[1]濮阳市疾病预防控制中心免疫规划科,河南濮阳457000

出　　处：《微生物学免疫学进展》2018年第6期67-70,共4页Progress In Microbiology and Immunology

摘　　要：目的分析濮阳市2012—2017年≤15岁人群急性弛缓性麻痹(acute flaccid paralysis,AFP)病例流行病学特征,评价AFP监测专报系统运转质量及问题,为本地区AFP防控策略提供依据。方法采用描述性流行病学方法,分析监测专报系统报告的AFP报告病例的流行病学特征,并对AFP病例监测系统运转情况进行评价。结果濮阳市2012—2017年AFP监测专报系统共报告108例,其中AFP报告病例84例,非AFP报告病例24例,年均报告发病率1.68/10万;华龙区AFP报告发病率最高8.58/10万;发病时间以秋季为主;男性高于女性,差异具有统计学意义(X^2=10.72、P<0.05),1～<5岁组居多,占总AFP报告病例数的69.05%; 84例AFP报告病例中,完成脊髓灰质炎疫苗全程免疫史的有80例,占总AFP报告病例数的95.24%。结论濮阳市2012—2017年≤15岁人群未发现脊灰野病毒病例,AFP监测专报系统运转状况良好,但仍需加强系统监测人员的培训,强化报告病例意识,进一步提高监测敏感性。Objective To analyze the epidemiological characteristics for acute flaccid paralysis( AFP) cases in the population≤15 years age from 2012 to 2017 in Puyang City,and to evaluate the working status of surveillance reporting system for AFP and the existing problems,in order to provide a basis in control and prevention of AFP in this area. Methods The descriptive epidemiology was carried out in analysis of epidemiological characteristics of reported AFP cases,and evaluated the related surveillance operation. Results There were 108 AFP cases reported from the surveillance system in this time,including 84 cases of AFP and 24 cases of non-AFP,with an annual incidence of 1.68/105,and Hualong District occupied the highest incidence( 8.58/105). The cases occurred mainly in autumn,the incidence for male was higher than female,with a statistical difference( X^2= 10.72,P<0.05).The number of patients in 1-5 years age was in the first position,accounted for 69.05% in total patients. Eighty cases had completed the entire immunization among all AFP cases,accounted for95.24% in total cases. Conclusion No cases with the wild poliovirus infection have been detected in the population ≤ 15 years age in 2012 to 2017 in Puyang City,the AFP surveillance reporting system was in a good operation. However,the training of staff members in the system should be strengthened,and the awareness of the reporting AFP cases to be promoted,it needs to further improve the monitoring sensitivity.

关 键 词：急性弛缓性麻痹 监测系统 评价 

分 类 号：R181.8[医药卫生—流行病学] R725.1[医药卫生—公共卫生与预防医学]