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目的对2004-2007年山西省急性弛缓性麻痹(AFP)病例监测系统运转情况进行分析。方法采用描述性流行病学方法和中国免疫规划监测信息管理系统软件对数据进行统计分析。结果2004-2007年共报告AFP病例676例,<15岁儿童AFP病例报告发病率2.02/10万,报告后48h调查率99.90%,合格粪便标本采集率94.50%,粪便标本及时送检率98.50%,随访表及时送达率98.20%,676例AFP病例中共有23例病例分离出脊髓灰质炎(脊灰)疫苗病毒,脊灰疫苗病毒分离率为3.40%。2004-2007年AFP病例男女性别比分别为2.62:1、2.26:1、2.25:1、2.55:1;<5岁AFP病例分别占当年报告病例数的59.51%、52.29%、51.40%、56.91%;AFP病例糖丸全程免疫率最低的是2006年为75.42%,最高的是2004年为83.44%。结论山西省2004-2007年继续保持无脊灰状态,各项监测指标均达到世界卫生组织和卫生部要求。
Objective To analyze the operation of monitoring system of acute flaccid paralysis (AFP) cases in Shanxi Province from 2004 to 2007. Methods Descriptive epidemiological methods and China immunization program monitoring information management system software were used to analyze the data. Results A total of 676 cases of AFP were reported in 2004-2007. The incidence of AFP in children <15 years old was 2.02 / 100000. The investigation rate was 99.90% at 48h after the report, 94.50% of qualified stool samples and 98.50% , The follow-up table timely delivery rate of 98.20%, 676 AFP cases, a total of 23 cases isolated polio (polio) vaccine virus, poliovirus isolation rate was 3.40%. The AFP cases between 2004 and 2007 were 2.62: 1, 2.26: 1, 1.25: 1 and 2.55: 1 respectively. The AFP cases aged <5 years accounted for 59.51%, 52.29%, 51.40% and 56.91% . The lowest whole-course immunization rate of sugar pills in AFP cases was 75.42% in 2006 and the highest in 2004 was 83.44%. Conclusion Shanxi Province remained polio-free during 2004-2007, and all monitoring indicators met the requirements of World Health Organization and Ministry of Health.