湖北省2009—2010年急性弛缓性麻痹病例监测

AFP case surveillance in Hubei Province from 2009-2010

目的掌握湖北省急性弛缓性麻痹(AFP)病例的流行病学特征,及时发现监测系统存在的问题,为提高监测质量提供依据。方法对2009—2010年全省报告的AFP病例的个案调查表、随访表进行统计分析。结果 2009—2010年湖北省共报告AFP病例433例,<15岁儿童非脊灰AFP病例报告发病率分别是1.98/10万和2.23/10万。报告后48 h内调查率为97.0%,麻痹14 d内双份便采集率为91.2%,合格便采集率为89.8%;麻痹75 d内随访及时率84.3%。结论要继续提高监测质量,特别是提高病例发现、报告的及时性和提高合格粪便标本的采集率。要继续加强脊灰疫苗免疫接种工作。

[Objective]To understand the epidemiological characteristics of acute flaccid paralysis（AFP） in Hubei Province,to identify the existed problem immediately,and provide evidence for improving the monitoring quality. [Methods]The individual questionnaire and follow-up table of AFP cases reported by AFP surveillance system was statistically analyzed in Hubei Province between 2009 and 2010. [Results]A total of 433 AFP cases were reported in Hubei Province from 2009-2010,the reported incidence of non-polio AFP cases of children under 15 years old was 1.98/10 0000 and 2.23/100 000,respectively.Ninety seven percent of cases were investigated within 48 hours,the collection rate of double stool samples of AFP cases within 14 days after onset of paralysis was 91.2%,the collection rate of adequate stool samples was 89.8%,the promptness rate of AFP cases follow-up within 75 days after onset of paralysis was 84.3%. [Conclusion]To control the poliomyelitis should improve the surveillance quality,especially in AFP case identification,timeliness of reporting and stool specimen collection,and continue to enhance OPV routine immunization.