摘要
目的 评价广西壮族自治区所采取的消灭脊灰策略,以继续保持无脊灰状态,并为控制和消除包括麻疹在内的其他传染病、慢性非传染性疾病提供科学依据。方法 提高常规免疫覆盖率、强化免疫,实施应急免疫、加强急性弛缓性麻痹(AFP)监测和实验室监测。漏卡调查、捕获-标记-再捕获等方法应用于应急免疫和提高常规免疫覆盖率。结果 自1992年6月开始,广西无脊灰野病毒病例出现;2 0 0 0年10月,成功通过无脊灰认证。结论 (1)高常规免疫覆盖率是消灭脊髓灰质炎的基础,强化免疫和扫荡免疫能清除薄弱地区和免疫空白点;(2 )漏卡调查、捕获-标记-再捕获等方法使常规免疫、扫荡免疫更加彻底;(3)良好的实验室建设、敏感的AFP监测系统是及时发现疫情。
Objective This Review was conducted to evaluate the strategy taken in Guangxi Zhuang Autonomous Region to eradicate poliomyelitis in order to provide a scientific basis for keeping poliomyelitis free and controlling and getting rid of other infectious and chronic non-infectious diseases, including measles. Methods Routine immunization coverage was expanded and, immunity reinforcement and stress immunization were implemented. Surveillance of acute flaccid paralysis(AFP)was strengthened, including laboratory monitoring. Investigation of missing cards and capturing-labeling-re-capturing were used for stress immunization and expansion of routine immunization coverage. Results No case of poliomyelitis has been seen in Guangxi Zhuang Autonomous Region since June 1992, and eradication of poliomyelitis in Guangxi was authenticated in October 2000.Conclusion (1) High routine immunization coverage is the basis of eradicating poliomyelitis. Immunization reinforcement and mopping-up immunization contribute to covering weak and blank regions in immunizations. (2) Investigation of missing cards and capturing-labeling-re-capturing make for perfecting routine and mopping -up immunizations. (3) Good laboratory construction and sensitive AFP survey system are prerequisites for timely identification and management of the epidemics.
出处
《疾病监测》
CAS
2005年第3期130-133,共4页
Disease Surveillance
