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为评价山东省与美国疾病控制与预防中心 /世界卫生组织开展麻疹监测合作项目以来麻疹监测系统 (MSS)的敏感性 ,结合山东省法定传染病报告系统 (NNDRS)、MSS以及居民和医疗机构发热出疹性疾病 (RFIs)漏报调查等 ,对MSS各环节进行分析。结果显示 ,尽管MSS报告RFIs显著多于NNDRS ,但仍存在漏报现象 ,本次调查居民漏报率为 94 12 % ,各级各类医疗机构漏报率为 4 4 4 4 % ,虽较 1998年有所好转 ,但在现阶段采用敏感病例定义的情况下 ,MSS仍欠敏感。改进和提高MSS工作质量 ,将是今后麻疹控制的一项长期和艰巨的任务。
To assess the sensitivity of the measles surveillance system (MSS) since Shandong Province and the US Centers for Disease Control and Prevention / WHO collaborated on the measles surveillance project, MSR, MSR, and fever in residents and medical institutions Rash disease (RFIs) omission survey, MSS analysis of all aspects. The results showed that although MSS reported significantly more RFIs than NNDRS, there was still a problem of underreporting. According to this survey, 94.12% of residents failed to report false positives and 44.44% of all medical institutions at all levels were missed, The year has turned better, but MSS is still not sensitive at this stage of adopting sensitive case definitions. Improving and improving the quality of MSS work will be a long-term and arduous task for measles control in the future.