1990~1999年辽宁省急性弛缓性麻痹病例与健康人群及外环境生活污水病原学监测

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报告了 1 990~ 1 999年辽宁省急性弛缓性麻痹 (AFP)病例共 85 9例 ,报告发病率由 1 990年的 0 5 6 /1 0万上升至1 999年的 1 0 2 /1 0万。共采集AFP病例粪便标本 780例 ,从中分离到脊髓灰质炎 (脊灰 )病毒 6 3株 (以例数计算 ) ,分离率为 7 33% ( 6 3/85 9) ;非脊灰其他肠道病毒 (NPEV) 72株 ,分离率为 8 38% ( 72 /85 9) ,其中脊灰病毒Ⅰ型 1 6株 ,Ⅱ型 1 7株 ,Ⅲ型 2 0株 ,混合株 1 0株。采集健康人群及AFP病例密切接触者粪便标本 2 6 6 2份 ,分离到脊灰病毒 5 0株 ,分离率为 1 88%( 5 0 /2 6 6 2 ) ;NPEV为 1 39株 ,分离率为 5 2 2 % ( 1 39/2 6 6 2 ) ;脊灰病毒Ⅰ型 34株 ,Ⅱ型 3株 ,Ⅲ型 1 3株 ,以Ⅰ型为优势株。采集外环境生活污水标本 1 5 7份 ,共分离到脊灰病毒 2 4株 ,分离率为 1 5 2 9% ( 2 4/1 5 7) ,NPEV为 6 0株 ,分离率为 38 2 2 %( 6 0 /1 5 7) ,脊灰病毒型别分布无明显的优势株。辽宁省自1 991年以来已连续 9年未检测到脊灰野病毒 A total of 85 9 acute flaccid paralysis (AFP) cases were reported in Liaoning Province from 1990 to 1999. The reported incidence increased from 561,000 in 1990 to 102,200 in 1999 Million A total of 780 faecal samples from AFP cases were collected and 63 poliovirus (poliovirus) strains isolated from them were obtained. The isolation rate was 733% (6 3/85 9). Other non-polio intestinal 72 isolates of virus (NPEV) were isolated and the isolation rate was 8 38% (72/85 9). Among them, 16 strains were poliovirus type Ⅰ 1, type Ⅱ 17, type Ⅲ 20 and mixed type 10. A total of 2662 fecal samples were collected from healthy population and close contacts of AFP cases, 50 strains of poliovirus were isolated, the isolation rate was 1 88% (50/266 2) (522%), 34 strains of type Ⅰ poliovirus, 3 strains of type Ⅱ and 13 strains of type Ⅲ, with type Ⅰ as dominant strain. A total of 157 samples of environmental sewage samples were collected. Twenty four strains of poliovirus were isolated, with a separation rate of 15 2 9% (2 4/1 5 7) and 60 isolates of NPEV with a separation rate of 38 2 2 % (60/157), poliovirus type distribution no obvious dominant strains. In Liaoning Province, poliovirus has not been detected for 9 consecutive years since 1991
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