广州市2004年维持无脊髓灰质炎状态进展

Analysis on keeping polio-free in Guangzhou in 2004

目的：进一步做好急性弛缓性麻痹（AFP）病例监测．巩固无脊髓灰质炎（脊灰）成果。方法：根据卫生部《全国2003-2010年保持无脊灰状态行动计划》的要求。对AFP病例监测系统质量和口服脊灰疫苗（OPV）的强化免疫活动进行分析。结果：2004年报告26例AFP病例，〈15岁儿童非脊灰AFP病例报告发病率1．43／10万；合格粪便标本采集率84．6％。根据病毒学分类标准，报告的AFP病例均为脊灰排除病例。强化免疫活动第一轮服苗率98．36％．第二轮98．6％。结论：2004年AFP病例各项质控指标均达到世界卫生组织（WHO）和卫生部无脊灰证实的标准。但仍然存在免疫薄弱地带等问题。

Objective： In order to supply the basis about the Acute Flaccid Paralysis （AFP） cases surveillance and to maintain the polio-free state,. Methods： According to the requirement of ＂national operation plan for maintaining polio- free 2003-2010＂, the AFP case surveillance system and the outline immunization coverage of OPV were analyzed; Results： 26AFP cases reported in 2004 were non-poliomyelitis case. Reported incidence of non-polio AFP cases aged below 15 years old was 1.43/100000 and collection rate of adequate stool specimens was 84. 6%. The outline immunization coverage rate of OPV for the first round was 98. 36 % and the second round was 98.6 %. Conclusion： All the indicators attained the WHO standards and even kept over of it, but the question still existed that some area were of less immunization on Poliomyelitis.