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目的:分析苍梧县2004-2013年急性弛缓性麻痹(AFP)病例监测工作,总结经验,巩固预防脊髓灰质炎成果。方法:收集、整理、分析苍梧县2004-2013年急性弛缓性麻痹病例监测工作的资料,总结病例的年龄、性别等特点。结果:2004-2013年苍梧县共报告39例AFP病例,各年度AFP病例报告率均达1/10万标准,全县年均报告率为2.56/10万,12个镇均有病例报告;病例主要集中在0~3岁组,占64.10%;男性22例,女性17例,男女比例为1.29:1;39例AFP病例中,服苗3次或3次以上35例,占89.74%,没有出现未服苗及服苗不详者;39例病例均为脊髓灰质炎排除病例,其中一例为疫苗相关病例;各项监测指标均达到WHO和国家卫计委标准。结论:苍梧县2004-2013年AFP病例监测系统各项监测指标维持在较高水平,连续22年未发现脊灰病例,但仍需高度重视AFP监测,加强镇村级医务人员技术培训,提高AFP监测系统的敏感性和及时性;切实做好常规免疫、查漏补种和强化免疫,维持高水平的脊灰疫苗免疫接种率。
Objective: To analyze the monitoring of acute flaccid paralysis (AFP) cases in Cangwu County from 2004 to 2013, summarize the experience and consolidate the results of prevention of poliomyelitis. Methods: Collecting, organizing and analyzing the data of monitoring cases of acute flaccid paralysis cases in Cangwu County from 2004 to 2013, and summarizing the age and sex of the cases. Results A total of 39 cases of AFP were reported in Cangwu County from 2004 to 2013. The reported rate of AFP cases reached 1/10 million in each year. The average annual report rate was 2.56 / 100,000 in 12 counties. The cases mainly concentrated in the group of 0 to 3 years old, accounting for 64.10%. There were 22 males and 17 females, the ratio of male to female was 1.29: 1. Of 39 AFP cases, 35 cases were served three times or more, accounting for 89.74% No unidentified seedlings and unidentified seedlings were found; 39 cases were polio exclusion cases, of which one case was vaccine-related cases; all the monitoring indicators reached WHO and National Health and Sanitation Commission standards. Conclusion: The monitoring indicators of AFP case monitoring system in Cangwu County in 2004-2013 were maintained at a high level. Polio cases were not found for 22 consecutive years. However, AFP monitoring should still be paid great attention to, and the technical training of medical personnel in towns and villages should be strengthened and increased AFP to monitor the sensitivity and timeliness of the system; to do a good job routine immunization, leak detection and enhanced immunization, and maintain a high level of polio vaccination rate.