1995年全国急性弛缓性麻痹病例监测系统运转情况评析

EVALUATION ON WORKING STATUS OF AFP SURVEILLANCE SYSTEMS DISTRIBUTED NATIONWIDE IN 1995

１９９５年全国急性弛性麻痹（ＡＦＰ）病例监测系统共报告ＡＦＰ病例４８０１例，比１９９０年增加３４．６％。全国共有１８８３个县（区、市、旗，下同）报告了ＡＦＰ病例，占全国县数的的６６．４％。全国进行含零病例报告的县除１１、１２份月外，均超过全国县数的８０％。１９９５年临床确诊脊髓灰质炎（脊灰）１６８例，分布于全国１５０个县。１９９５年１５岁以下儿童ＡＦＰ病例报告发病率为１．５１／１０万，非脊灰ＡＦＰ病例报告发病率为１．４６／１０万，自ＡＦＰ病例监测系统建立以来首次达到世界卫生组织（ＷＨＯ）推荐的１／１０万的敏感性指标。ＡＦＰ病例１４天内双份粪标本采集率为７５％，４８小时内调查率为９８％。ＡＦＰ病例就诊后报告的及时率仍有待进一步提高。非ＡＦＰ病例的存在需引起足够重视。今后应在保持ＡＦＰ病例监测系统敏感性同时，强调监测系统特异性，确保监测系统各个环节的及时性，提高整体监测水平和质量。

n 1995 in China,there were 4,801AFP cases reported by AFP surveillance systems of the whole coutry,the case number increased by 34.6%when compared with that of 1 994.1,883 coun-ties(District,City,Banner,the same below)that delivered AFP case reports accounted for 66.4% of the total counties of the whole country,but when adding counties that reported zem AFP cases(not induding November and December of the year)the total county number reached more than80.0%.Ih 1 995,the dinically confirmed poliomyelitis cases were 1 68 that distributed in 1 50 countiesof the country. The AFP reported inddence under 1 5 years old children was 1.51/100,000, and thatof non-polio AFP were 1.46/100,000,this for the filst time have reached the aim of sensitivity(1/100,000)recommeded by World HeaIth Organization(WHO),sinee the establishment of the AFPsurveillance system.The collating rate of two stool sptriens within 1 4 dayS of AFP case reportingwas 75%,investigating rate within 48 hours was 98%.It is proposed that the timely AFP case re-porting rate after seeking doctor should further be improved,and the existence of non-AFP cases should pay much attention to,The tasks in future are that in the time to keep stable the sensitivityof the AFP surveilianee system,emphasis must be platced on the speclficity of this system and en-.sures the timeliness of every step inolved in this system so as to raise the surveillance level and quali-ty as a whole.