2007—2011年绵阳市急性迟缓性麻痹病例流行病学分析及监测系统评价

Epidemiological analysis of acute flaccid paralysis cases and evaluation of monitoring system in Mianyang City from 2007-2011

目的分析绵阳市急性迟缓性麻痹(AFP)病例流行病学特征及监测系统运转情况,指导维持该市无脊髓灰质炎(脊灰)工作。方法收集整理该市2007—2011年AFP病例个案调查表、随访表及其相关报表等资料,运用描述流行病学方法进行统计分析。结果绵阳市2007—2011年共计报告该地AFP病例103例,年平均报告发病率2.93/10万,监测系统的敏感性、及时性和完整性指标均超过卫生部规定标准。结论绵阳市AFP监测系统运转良好,但在病例报告的敏感性、及时性及个案调查质量上还有待提高,部分地区免疫规划工作还存在薄弱环节,脊灰野病毒输入性病例及脊灰疫苗相关病例风险依然存在。建议进一步加强健康教育宣传及相关技术培训。

[Objective]To analyze the epidemiological characteristics of acute flaccid paralysis（AFP） cases and operation condition of monitoring system in Mianyang City,guide the elimination of poliomyelitis.[Methods]The data of questionnaires,follow-up tables and related records of AFP case in Mianyang City from 2007-2011 were collected and statistically analyzed with the descriptive epidemiological method.[Results]A total of 103 AFP cases were reported in Mianyang City from 2007-2011,and the average annual incidence rate was 2.93/lakh.The sensibility,promptness and integrity of the monitoring system exceeded the standards of the Ministry of Health.[Conclusion]AFP monitoring system in Mianyang City runs well,but the sensibility,promptness and quality of case reports should be improved,and immunization program has weak link in some areas.There still exist the risks of imported case caused by wild poliovirus and vaccine-associated poliomyelitis cases.It is necessary to further strengthen health education and related technical training.