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江苏省1995年急性弛缓性麻痹(AFP)病例的流行病学与监测分析 被引量:2

EPIDEMIOLOGY AND SURVEILLANCE OF ACUTE FLACCID PARALYSIS(AFP)1995 IN JIANGSU PROVINCE
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摘要 江苏省1995年共报告急性弛缓性麻痹(AFP)病例213例,分布在70个县(市、区,下同),占全省县数的66.4%,其中脊髓灰质炎(脊灰)5例。15岁以下儿童非脊灰AFP报告发病率为1.61/10万,脊灰皇散发。AFP病例14天内合格粪便标本采集率为70%,48小时内调查率为96%;全年共分离6株脊灰疫苗病毒,已有3年末发现脊灰野病毒所致病例。此结果显示:江苏省通过采取综合措施,包括做好口服脊灰疫苗(OPV)常规免疫,开展强化免疫,建立AFP病例监测系统,加强管理等,消灭脊灰工作取得了很大进展。但仍有不足之处,如双份合格粪便标本的采集率、及时随访率等都较低,尚须进一步努力。 13 cases of acute flaccid paralysis(AFP)were reported in 1995 in Jiangsu Province.A totalnumber of 70 counties were involved, accounting for 66. 4% of total amount of counties in JiangsunProvince. Out of 213 AFP cases, 5 were confirmed as polio.The rate of reported non-polio AFPcases was 1.6/100,000 for children under 15 years old.A geographically sporadic distribution ofpolio was noticed with no seasonal peak.70% of the total AFP cases had the two stool specimenscolected within 0-14 days after paralysis.96% of AFP cases had been investigated within 48hours after being reported. 6 strains of polio vaiccine virus were isolated in 1995.No wild-typepolio virus was found for three years in succession. The results showed that substantial progress to-wards poliomyelitis eradication had been achieved through comprehensive measures includingestablishment of AFP surveillance system, introduction of oral poliovirus vaccine(OPV)andenhancing management for poliomyelitis eradication. But,the collection rate of 2 stool specimens ofAFP cases whithin 0-14 days after paralysis and delivery rate of follow-up forms of AFP cases toProvincial Epidemic Prevetion Station within 75 daus were low.In order to reach the target ofpoliomyelitis eradication, much more efforts need to be made.
出处 《中国计划免疫》 1996年第4期159-163,共5页 Chinese Journal of Vaccines and Immunization
关键词 弛缓性麻痹 脊髓灰质炎 监测 流行病学 Acute flaccid paralysis(AFP),Poliomyelitits surveillance
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  • 1Yang Baoping,Pediatr Infect Dis J,1995年,14卷,308页
  • 2Yang Baoping,MMWR,1990年,43卷,46期,857页
  • 3Yang Baoping,MMWR,1990年,43卷,46期,857页

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