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目的进一步做好急性弛缓性麻痹(AFP)病例的监测工作,巩固无脊髓灰质炎成果。方法采用描述流行病学方法对灵山县2008—2010年AFP病例的流行病学特征和监测系统运转情况进行分析。结果灵山县2008—2010年分别报告AFP病例9、8和12例,报告发病率分别为2.58/10万、2.59/10万、和3.94/10万,AFP病例监测系统各项指标均达要求,合格粪便标本采集率为96.42%(27/28),分离出非脊髓灰质炎肠道病毒6例,占20.68%;分离出脊髓灰质炎病毒Ⅰ型1例,占3.45%,经国家脊髓灰质炎实验室鉴定后排除。结论灵山县儿童AFP病例监测系统运转情况良好。做好常规免疫、强化免疫、查漏补种和AFP病例合格标本的采集工作,提高首诊报告率,是有效维持无脊髓灰质炎状态的重要工作。
Objective To further monitor the cases of acute flaccid paralysis (AFP) and consolidate the achievements of non-poliomyelitis. Methods Descriptive epidemiological methods were used to analyze the epidemiological characteristics of AFP cases in Lingshan County from 2008 to 2010 and the operation of surveillance system. Results A total of 9, 8 and 12 AFP cases were reported in Lingshan County in 2008-2010. The reported incidence rates were 2.58 / 100000, 2.59 / 100000, and 3.94 / 100000 respectively. The indicators of AFP case monitoring system reached the requirements, The collection rate of qualified stool samples was 96.42% (27/28), 6 cases of non-polio enterovirus were isolated, accounting for 20.68%; 1 case of poliovirus type Ⅰ was isolated (3.45%), polio was isolated from the national poliomyelitis Laboratory identification excluded. Conclusion The AFP case monitoring system for children in Lingshan County operated in good condition. Doing routine immunization, intensive immunization, missed vaccination and AFP case collection of qualified specimens to improve the first report rate is an effective polio-free maintenance of the important work.