江西省2003年保持无脊髓灰质炎状态工作分析

Analysis on Working Status to Retain the Situation of No-polio in Jiangxi Province,2003

目的 评价江西省2 0 0 3年急性弛缓性麻痹(AFP)病例监测系统的运转情况。方法 对报告的AFP病例进行描述流行病学分析。结果 江西省2 0 0 3年AFP病例监测系统共报告2 38例非脊髓灰质炎(脊灰)AFP病例,1例临床符合脊灰,未发现本土或输入性脊灰野病毒病例。<15岁儿童非脊灰AFP病例报告发病率为2 . 16 /10万,合格粪便标本采集率为80 . 6 7%。结论 为了继续保持无脊灰状态,应加强对县级及以下医务人员的培训,提高AFP病例的报告发病率和合格粪便标本的采集率。同时加强对薄弱地区的主动搜索和常规免疫接种管理,保持口服脊灰疫苗高免疫接种率。

Objective The most important thing to retain no-polio status is to keep the sensitive of the acute flaccid paralysis (AFP) surveillance system. In order to evaluate the status of AFP surveillance system in Jiangxi Province. Method We made epidemic analysis for 238 AFP cases in 2003.Results The results show that there is no imported wild polio virus in Jiangxi 2003.One case was classified as polio-compatible case.The reported incidence of non-polio AFP under 15 years old was 2.16/100000,the collection rate of adequate stool specimens was 80.67%,the rate of follow up the AFP in 75 days was 79.41%. Conclusion We should offer trainings to the doctors in the counties and retain the no-polio estate in our Province,improve the report rate of AFP cases and the collation rate of adequate stool specimens. We should also strengthen the training and AFP case searching the routine immunity inoculation in the areas where the situalion of no-polio need to be improved to keep a high vaccination coverage rate in our Province.