通州市1991～1998年脊髓灰质炎监测工作分析

Analysis on poliomyelitis surveilance in Tongzhou city 1991 - 1998.

为评估通州市脊髓灰质炎监测工作状况,我们对1991～1998年AFP急性弛缓性麻痹专报系统报告的AFP病例进行调查。结果发现通州市1991～1998年15岁以下儿童AFP病例报告发病率为(1.15～3.42)/10万;AFP病例麻痹发生后2天内就诊的占总数的38.10％,1周和2周内就诊的各占73.82％、83.34％;AFP病例就诊后48小时内报告的占总数的47.62％,1周和2周内报告的各占80.85％、92.85％;接到AFP病例报告后48小时内调查的占总数的95.24％,AFP病例发生麻痹后1周内采集粪便标本的占54.76％,2周内占73.81％。结论认为通州市AFP病例监测工作重点应提高,AFP病例的就诊率和报告的及时性。

In order to estimate the working status of AFP surveillance system in Tongzhou city, we investigated the reported cases of Acute Flaccid Paralysis from AFP surveillance system.In 1991 - 1998 in Tongzhou city,the reported incidence of AFP cases under 15 year old children was 1.15 -3.42/100,000.The AFP patients who went to see doctors within 2 days、1 week and 2 weeks after the appearance of paralysis accounted for 38.10%、73.82 % 、 83.34 % of the total AFP cases respectively. The case reporting rate after seeing doctors was rather low, it was 47.62 % within 48 hours, 80. 95 % and 92.85 % within 1 week and 2 weeks respectively. The investigating rafe within 48 hours after receiving case report was 95.24 % . The fecal collecting rate within 1 week and 2 weeks after the appearance of paralysis were 54.76 % and 73 ^ 81 % respectively. The focal points of AFP surveillance system in our city from now on were to raise the clinic rate of AFP cases and the timeliness、of AFP case report.