新乡市2005－2010年急性弛缓性麻痹病例分析

Analysis of acute flaccid paralysis cases in Xinxiang City from 2005 to 2010

目的:分析新乡市急性弛缓性麻痹(AFP)病例流行病学特征及监测结果,指导维持本市无脊髓灰质炎工作。方法:收集2005至2010年全市报告的AFP病例个案调查表及其相关报表资料,采用描述流行病学方法统计分析。结果:新乡市2005至2010年共报告15岁以下儿童AFP病例138例,年平均报告发病率2.2/10万,无脊灰毒株检出和脊髓灰质炎病例报告;系统监测的敏感性和完整性指标均明显超过卫生部要求,双份合格标本采集率没有达到卫生部要求。结论:新乡市的AFP监测系统运转良好,但存在一定免疫空白和输入性病例的威胁,病例就诊与报告的及时性、个案调查质量有待提高,建议加强免疫接种的健康教育和调查技术培训。

Objective：According to the analysis of the epidemiological characteristics and the monitoring results of the acute flaccid paralysis（AFP） cases in Xinxiang City,the paper aims to guide and maintain the polio-free methods of the city.Methods：The descriptive epidemiological analysis was conducted on the collected city reported AFP cases data and the related survey data in Xinxiang City from 2005 to 2010.Results：A total of 138 local children under the age of 15 AFP cases were reported during 2005 to 2010.The average annual reporting rate was 2.2/lakh,there were no reporting cases of polio strain detection and polio.The indicators of the monitoring system＇s sensitivity and integrity were significantly more than the Ministry of Health requirements,but the double pass rate of specimen collection did not meet the requirements of the Ministry of Health.Conclusion：Xinxiang city＇s AFP surveillance system was working well,but there were a certain immunity gaps and the threat of imported cases.The cases treatment,the timeliness of reporting,case study quality were expected to be improved,it was to strengthen the immunization and health education ant the training in investigation techniques.