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目的进一步做好晋江市急性弛缓性麻痹(AFP)病例的监测工作,维持无脊灰状态。方法用描述流行病学法对2012—2013年AFP病例的流行病学特征和监测系统运行状况进行分析。结果晋江市2012—2013年共报告AFP病例39例,年均报告发病率7.37/10万。发病主要集中在7岁以下(94.9%),病例常规免疫接种率较高,脊灰疫苗免疫≥3剂次占97.4%。39例均未分离出脊灰病毒。AFP报告发病率、调查及时率、合格标本采集率、及时送检率和75d随访率均达到国家规定要求。结论晋江市AFP病例监测系统运行状况良好。今后应重点加强基层医疗机构相关人员的业务培训,提高医疗机构AFP病例报告率。
Objective To further monitor the acute flaccid paralysis (AFP) cases in Jinjiang City and maintain the polio-free status. Methods Descriptive epidemiology was used to analyze the epidemiological characteristics of AFP cases from 2012 to 2013 and the monitoring system health status. Results A total of 39 AFP cases were reported in Jinjiang from 2012 to 2013, with an average annual incidence of 7.37 / 100 000. The incidence mainly concentrated in the age of 7 years (94.9%), the case of routine immunization rates higher, polio vaccine ≥ 3 times accounted for 97.4%. No poliovirus was isolated in 39 cases. AFP report incidence, timely investigation rate, qualified sample collection rate, timely delivery rate and 75d follow-up rate reached the national requirements. Conclusion AFP case monitoring system in Jinjiang City is in good condition. The future should focus on strengthening the business training of grassroots medical institutions related personnel, improve the reporting rate of AFP cases in medical institutions.