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目的评价中国(未包括香港、澳门特别行政区和台湾地区)2005年急性弛缓性麻痹(AFP)病例监测系统运转情况。方法分析31个省(自治区、直辖市)报告的2005年AFP病例数据库。结果2005年AFP病例监测系统共报告病例5 847例,其中AFP病例5 425例,非AFP病例422例。按病毒学分类标准,5 409例被排除脊髓灰质炎(脊灰),16例为临床符合脊灰。<15岁儿童非脊灰AFP病例报告发病率为1.94/10万。2005年AFP病例监测系统发现了中国首例免疫缺陷疫苗衍生脊灰病毒(iVDPV)病例,未发现本土或输入脊灰野病毒病例。AFP病例报告县(区、市、旗,下同)2 060个,占全国总县数的72.0%。结论中国2005年AFP病例监测系统保持较高的质量,各项监测指标均达到世界卫生组织和卫生部的要求。
Objective To evaluate the operation of the AFP surveillance system in China (excluding Hong Kong, Macau Special Administrative Region and Taiwan) in 2005. Methods The 2005 AFP case database reported by 31 provinces (autonomous regions and municipalities) was analyzed. Results A total of 5 847 cases were reported in AFP case surveillance system in 2005, including 5 425 AFP cases and 422 non-AFP cases. According to the standard of virological classification, 5,409 cases were excluded from poliomyelitis (polio) and 16 cases were clinically poliovirus. The incidence of non-polio AFP cases in children <15 years was 1.94 per 100 000. In 2005, AFP surveillance system found the first case of immunodeficiency virus-derived poliovirus (iVDPV) in China. No cases of indigenous or imported poliovirus were found. AFP cases reported counties (districts, cities, banners, the same below) 2 060, accounting for 72.0% of the total number of counties. Conclusion China AFP case monitoring system maintained high quality in 2005, and all monitoring indicators met the requirements of World Health Organization and Ministry of Health.