某市2006～2011年急性弛缓性麻痹病例的监测系统评价

Evaluation of Acute Flaccid Paralysis Cases Surveillance System During 2006-2011 in A City

目的了解周口市急性弛缓性麻痹（AFP）发病情况,探讨消灭脊灰后AFP监测工作措施。方法对周口市2006~2011年AFP病例监测资料进行流行病学分析,并对AFP病例监测系统进行评价。结果 2006~2011年全市共报告AFP病例353例,未发现脊灰野病毒引起的病例。病例分布在全市10个县（区）,发病以0～4岁儿童为主,占77.34%;男性发病多于女性,男女比例2.84∶l;所有监测病例经河南省专家诊断组诊断均为排除脊灰病例,格林巴利综合征最多,占36.26%。自2006年起,15岁以下儿童非脊灰AFP病例报告发病率均〉l/10万,各项主要监测指标均达到了卫生部规定的80%的要求。结论周口市AFP监测系统运转正常,系统报告敏感、及时、准确,监测报告质量不断提高,但仍有一些问题有待进一步改进。

Objeetive To understand the prevalence of acute flaccid paralysis（AFP）in Zhoukou. Explore the measures of AFP surveillance after the elimination of poliomyelitis. Methods To study the performance of monitoring system of Acute Flaccid Paralysis（AFP）in Zhoukou during 2006-2011, provide scientific evidence for improving the report quality of monitoring system. Results During2006-2011,353 AFP cases were reported in Zhoukou City, no wild poliovirus was detected. These AFP cases were distributed in 10 countries. The age of AFP cases was mainly 0-4years old, accounting for 77.34%, higher incidence in male than in female, the rate is 2.84 ： l.All AFP cases were discarded poliomyelitis cases by the diagnoses group of Henan Province. The rate of Guillan Barre syndrome （GBS）in these cases was 36.26%.The reported incidence of non--polio AFP cases of children underl 5 years old has been over 1/I00000 since 2003.Other indexes have been above 80%.Conclusion The performance of monitoring system of AFP in Zhoukou city is well.The system reports Cases sensitively-duly and accurately.The quality of reports enhances continuously.But some problems remain to be improved further.