临沂市2003～2006年急性弛缓性麻痹病例监测系统评价.docVIP

临沂市2003～2006年急性弛缓性麻痹病例监测系统评价［摘 要］ 目的 评价全国保持无脊髓灰质炎状态行动计划出台以来临沂市急性弛缓性麻痹(AFP)病例监测系统运转情况。 方法 对2003～2006年临沂市AFP病例监测系统资料用EpiData软件进行统计分析。结果 2003～2006年全市共报告AFP病例202例，未发现脊灰野病毒引起的病例。病例分布在全市12个县(区):发病以0到5岁儿童为主，占83.2%；男性发病多于女性，男女比例1.93：1；所有监测病例经山东省专家诊断组均为排除脊灰病例，格林巴利综合征最多，占19.9%，监测并鉴定了3例疫苗相关病例（VAPP）。自2003年起，15岁以下儿童非脊灰AFP病例报告发病率均大于1/10万，各项主要监测指标均达到了卫生部规定的80%的要求。 结论 临沂市AFP监测系统保持高度敏感性，有能力及时发现各类监测病例。 ［关键词］ 急性弛缓性麻痹；脊髓灰质炎；监测系统? ［中图分类号］ R512.4［文献标识码］ A［文章编号］ 1672-4208(2008)01-0006-02 Evaluation of acute flaccid paralysis cases surveillance system during 2003～2006 in Linyi city LI Xiao，Linyi City Center forDisease Control and Prevention，Linyi 276001,China? 【Abstract】 Objective To evaluate the operating quality of Acute Flaccid Paralysis(AFP)case surveillance system since the plan about nation to maintain nonpolio condition has appraised in Linyi. Methods Analyze the date of AFP cases reported by AFP surveillance system of Linyi city by EpiData software. Results During 2003-2006，202 AFP cases were reported in Linyi City，no wild poliovirus was detected.These AFP cases were distributed in 12 countries.The age of AFP cases was mainly 0-5 years old，accounting for 83.2%，higher incidence in male than in female，the rate is 1.93:1.All AFP cases were discarded poliomyelitis cases by the diagnoses group of Shandong Province.The rate of Guillain-Barre Syndrome(GBS)in these cases was 19.9% Monitored and has appraised 3 cases of VAPP.The reported incidence of non-polio AFP cases of children under 15 years old has been over 1/100000 since 2003.Other indexes have been above 80%. Conclusion The AFP surveillance system of Linyi maintains high sensitivity has ability to discover all monitor case promptly. 【Key words】 Acute Flaccid Paralysis(AFP)；Poliomyelitis；Surveillancesystem 2000年10月29日，WHO西太平洋区宣布实现了无脊灰目标 [1] 。为维持我国无脊髓灰质炎状态，巩固实现消灭脊髓灰质炎工作取得的阶段性成果，卫生部于2003年制定并下发了《2003～2010年全国保持无脊髓灰质炎状态行动计划》，进一步完善AFP监测系统，维持高水平的流行病学监测和实验室监测工作质量，对于及时发现脊灰野病毒输入和疫苗衍生病毒循环，提高计划免疫工作薄弱等高危地区的监测工作质量具有重