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目的 提高急性弛缓性麻痹 (AFP)病例监测系统工作质量 ,保持无脊髓灰质炎 (脊灰 )状态。方法 按照卫生部《全国 2 0 0 3~ 2 0 1 0年保持无脊灰状态行动计划》的要求 ,开展口服脊灰疫苗 (OPV)常规免疫、强化免疫和AFP病例监测工作。结果 2 0 0 3年报告 1 99例AFP病例 ,分布在 1 4个市 (州 )的 84个县 (区、市 ) ,<1 5岁儿童非脊灰AFP病例报告发病率 1 4 3/ 1 0万 ,合格粪便标本采集率 85 9% ,粪便标本及时送检率 96 0 % ,随访表及时送达率94 5%。OPV常规免疫报告接种率 96 5% ,加强免疫接种率为 95 8% ,OPV查漏补种活动第 1轮接种率为92 8% ,第 2轮 91 8%。结论 2 0 0 3年AFP病例各项监测指标均达到世界卫生组织和卫生部无脊灰证实标准
Objective To improve the quality of work of acute flaccid paralysis (AFP) case monitoring system and maintain poliomyelitis-free (polio) status. Methods According to the Ministry of Health’s “Action Plan for Polio-Free State Maintenance in 2003 ~ 2010”, the routine immunization, intensive immunization and AFP surveillance of oral polio vaccine (OPV) were conducted. Results A total of 99 cases of AFP were reported in 2003 in 84 counties (districts and cities) of 14 cities and counties. The incidence of non-polio AFP cases in children <15 years old was 14.3 / 1 The sampling rate of qualified stool samples was 85.9%. The timely detection rate of stool samples was 96.0%. The timely delivery rate of follow-up table was 94.5%. The routine immunization coverage of OPV was 96.5%, 95.8% of the cases were boosted, 92.8% of the first round of OPV leak detection and replanting activities and 91.8% of the second round. Conclusions The monitoring indicators of AFP cases in 2003 reached the standard of polio-proof by World Health Organization and Ministry of Health