目的为提高内蒙古自治区急性弛缓性麻痹(AFP)病例监测系统工作质量,继续保持无脊髓灰质炎(脊灰,下同)状态。方法对2009年内蒙古AFP病例监测系统报告的病例进行流行病学分析,对监测系统运转情况进行评价。结果 2009年内蒙古自治区AFP病例监测系统共报告病例60例,分布在11个盟(市,下同)的33个旗(县、区,下同)中占全自治区总旗数的32.7%(33/101)。<15岁儿童非脊髓灰质炎(脊灰)AFP病例报告发病率为1.24/10万,报告后48h内调查率96.7%,合格粪便标本采集率为88.3%,粪便标本7d内及时送检率98.3%,随访表75d及时送达率为91.8%。结论内蒙古自治区AFP病例监测系统各项指标均达到世界卫生组织(WHO)和卫生部的要求,但个别地区监测质量下降,监测工作发展不平衡,应继续加强培训和主动监测工作,进一步提高监测质量,防止脊灰的死灰复燃。 Objective To improve the working quality of monitoring system of acute flaccid paralysis (AFP) in Inner Mongolia Autonomous Region and keep polio-free (polio, the same below) status. Methods Epidemiological analysis was carried out on cases reported by AFP case surveillance system in Inner Mongolia in 2009, and the operation of monitoring system was evaluated. Results In 2009, 60 cases of AFP case surveillance system were reported in Inner Mongolia Autonomous Region, accounting for 32.7% of the total number of autonomous regions in 33 banners (counties, districts, the same below) of 11 alliance cities / 101). The incidence of non-polio (polio) AFP cases in children <15 years old was 1.24 per 100 000. The surveyed rate was 96.7% within 48 hours after the report, 88.3% of the qualified stool samples and 98.3% of the stool samples within 7 days %, Follow-up table 75d timely delivery rate was 91.8%. Conclusion The indicators of AFP surveillance system in Inner Mongolia meet the requirements of the World Health Organization (WHO) and the Ministry of Health. However, the quality of monitoring in some areas is deteriorating and the monitoring work is not balanced. Training and voluntary monitoring should be further strengthened so as to further improve the quality of monitoring , To prevent the resurgence of polio.