摘要
目的巩固海南省无脊髓灰质炎(脊灰)成果,维持无脊灰状态。方法利用急性弛缓性麻痹(AFP)病例监测网络,在全省范围内针对<15岁儿童开展AFP病例监测。结果2003年全省报告AFP病例30例,<15岁儿童非脊灰AFP病例报告发病率为1.33/10万,无脊灰野病毒病例。AFP病例分布在12个市(县),呈散发状态,在10月和12月出现两个报病高峰,<5岁病例占60%,男女性别之比为2∶1,口服脊灰疫苗(OPV)全程免疫接种率80%,AFP病例及时随访率为90%,合格粪便标本采集率为93.3%,肠道病毒阳性标本9株,分离阳性率为15.3%(脊灰病毒2株,均为疫苗株,非脊灰肠道病毒7株)。结论海南省AFP病例监测系统继续保持高度的敏感性,各项监测指标均达到要求,全省继续维持无脊灰状态。
Objective In order to strengthen the achievements of poliomyelitis eradication and maintain the status of no poliomyelitis. Methods Survey all of the acute flaccid paralysis （AFP）cases of children under 15 years old through the AFP surveillance system network. Results 30 AFP cases were reported in Hainan Province in 2003. The reported morbidity of AFP in children under 15 years old was 1.33/100 000. There was no polio case caused by wild polio virus. All of the AFP cases were distributed in 12 counties/cities. There were two reporting peaks of season in October and December. 60 % of the cases were children under 5 years old. The ratio of male to female was 2 ： 1. 80 % of the cases had full course OPV immunization history. The timely following-up rate was 90 % . 9.33 % of the stool samples were collected up to standard. Nine enteroviruses strains were isolated. The positive rate of virus isolation was 15.3%. Two polio virus vaccine-associated strains were isolated. Seven Virus strains were NPEV. Conclusion The surveillance data have showed that the AFP surveillance system of Hainan Province had kept higher sensitivity. All of the indicators of AFP surveillance had met the standard of WHO. No case was caused by wild polio virus for 10 years.The status of no poliomyelitis had being kept in Hainan Province.
出处
《中国计划免疫》
2005年第6期450-451,共2页
Chinese Journal of Vaccines and Immunization
关键词
急性弛缓性麻痹
脊髓灰质炎
监测
Acute flaccid Paralysis （AFP）
Poliomyelitis
Surveillance
Analysis
