2005年内蒙古自治区急性弛缓性麻痹病例监测系统运转情况分析

Analysis on the working status of acute flaccid paralysis case surveillance system in Inner Mongolia in 2005

目的为提高内蒙古自治区急性弛缓性麻痹(AFP)病例监测系统工作质量,继续保持无脊髓灰质炎(脊灰)状态。方法对2005年内蒙古AFP病例监测系统报告的病例进行流行病学分析,对监测系统运转情况进行评价。结果2005年内蒙古自治区AFP病例监测系统共报告病例64例,分布在12个盟(市,)的39个旗(县、区,)中,占全自治区总旗数的38.61%。<15岁儿童非脊髓灰质炎(脊灰)AFP病例报告发病率为1.31/10万,报告后48h内调查率95.40%,合格粪便标本采集率为80.00%,粪便标本7d内及时送检率86.90%,随访表75d及时送达率为83.80%。结论内蒙古自治区AFP病例监测系统各项指标均达到世界卫生组织(WHO)和卫生部的要求,但个别地区监测质量下降,应继续加强培训和主动监测工作。

Objective This study was conducted to improve the reporting quality of AFP case surveillance system for the maintenance of the current polio-free environment. Methods The AFP cases reported by the AFP surveillance system in Inner Mongolia in 2005 were epidemiologically analyzed and the working status of the AFP surveillance system was evaluated. Results 64 acute flaccid paralysis （AFP） cases were reported by the AFP surveillance system, distributing in 39 flags （counties and districts, similarly hereinafter） of the 12 prefectures （cities）, accounting for 38.61% of all the flags in the autonomous region. The reported incidence of non-polio AFP cases was 1.31/lakh among children under 15 years old, the investigating rate of AFP cases within 48 hours of report 95.40%. The collection rate of adequate stool samples was 80.00%, promptly delivered rate of the stool specimens within 7 days being 86.90%, and the qualified delivery rate of follow-up forms was 83.80%. Conclusion All the AFP surveillance indexes met the requirements of WHO and MOH in Inner Mongolia. However, the surveillance quality in individual areas presented a declining trend. It is required to strengthen the training and active surveillance work.