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[目的]评价福建省2009年急性弛缓性麻痹(AFP)病例监测系统,发现并阻断脊髓灰质炎(脊灰)野病毒输入和传播的能力,进一步巩固无脊灰成果。[方法]用EpiInfo和中国免疫规划监测信息管理系统软件进行数据处理分析。[结果]2009年AFP病例监测系统报告15岁以下儿童非脊灰AFP病例发病率为1.33/10万(106例),AFP病例双份合格粪便采集率为92.5%,脊灰疫苗病毒分离率3.8%,肠道病毒分离率16.0%。未全程完成脊灰减毒活疫苗(OPV)基础免疫病例占11.3%,免疫史不详占6.6%。[结论]AFP病例监测系统各项监测指标均达到WHO和卫生部相关要求,但个别地区监测质量下降,应继续加强主动监测,落实培训工作,提高监测系统的敏感性。
[Objective] To evaluate the surveillance system of acute flaccid paralysis (AFP) in Fujian Province in 2009 and find out and block the ability of poliovirus (polio) wild-type virus to input and spread, so as to further consolidate the results of polio-free. [Methods] The data processing and analysis were conducted with EpiInfo and China Immunization Program Monitoring Information Management System. [Results] The AFP case surveillance system in 2009 reported a prevalence of non-polio AFP in children under 15 years of age (1.33 per 100 000 cases) (106 cases), AFP cases were 92.5%, poliovirus isolation rate 3.8 %, Enterovirus isolation rate of 16.0%. The cases of basic immunization with live attenuated poliovirus (OPV) were not completed in 11.3% of cases, and the history of immunization was 6.6%. [Conclusion] The monitoring indicators of AFP case monitoring system meet the relevant requirements of WHO and the Ministry of Health. However, the quality of monitoring in some areas is declining. Active surveillance, implementation of training and monitoring system sensitivity should be continued.