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目的分析福州市急性弛缓性麻痹(AFP)病例流行病学特征,评价AFP监测系统。方法用描述流行病学方法分析全市AFP病例监测系统上报的个案调查表和病毒检测结果,按照国家监测指标评价间隙系统的敏感性。结果福州市2005~2010年共报告AFP病例125例,15岁以下儿童AFP平均报告发病率为1.53/10万;福州市所辖13个县(市、区)均有病例报告,乡镇卫生单位的报告病例仅占4%;病例以低年龄组为主,5岁以下占68.8%;125例病例中未服苗者和免疫史不详着占4.8%;AFP报告发病率、病例调查、75d随访、粪便及时送检等指标均达到国家规定要求,合格粪便采集率仅2008年未达到国家要求;病毒分离6株为疫苗相关株(Ⅰ型1例,Ⅱ型2例、Ⅱ+Ⅲ型3例)。结论福州市监测质量需进一步提高,加强医疗机构,特别是乡镇医疗机构AFP监测培训,提高乡镇级AFP病例报告率。
Objective To analyze the epidemiological characteristics of acute flaccid paralysis (AFP) in Fuzhou and evaluate the AFP monitoring system. Methods Descriptive epidemiological methods were used to analyze case reports and virus test results reported by AFP case surveillance system in the whole city. The sensitivity of gap system was evaluated according to national monitoring indicators. Results A total of 125 cases of AFP were reported in Fuzhou from 2005 to 2010, and the average incidence of AFP in children under 15 years old was 1.53 / 100,000. There were case reports in 13 counties (cities and districts) under the jurisdiction of Fuzhou, and township health units Reported cases accounted for only 4%; cases were mainly in the low age group, 68.8% under the age of 5; 125 cases of unserum vaccine and immunization history is unknown about accounted for 4.8%; AFP report incidence, case studies, 75d follow-up, The excrement was promptly inspected and other indicators have reached the requirements of the state regulations, qualified faeces collection rate in 2008 did not meet the national requirements; virus isolation of 6 strains of vaccine-related strains (type Ⅰ in 1 case, type Ⅱ in 2 cases, Ⅱ + Ⅲ type 3 cases) . Conclusion The monitoring quality of Fuzhou need to be further improved, and the AFP monitoring and training of medical institutions, especially township medical institutions, should be strengthened to improve the reporting rate of township AFP cases.