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目的对全市维持无脊髓灰质炎状态所采取的措施予以评价,提出今后需要改进的环节。方法收集分析2012年急性弛缓性麻痹(AFP)病例监测和接种资料。结果 2012年AFP病例报告发病率为4.73/10万,各项监测指标达到国家要求,但存在监测发展不平衡、质量下降现象。常规免疫监测显示:脊灰疫苗OPV基础免疫报告接种率为99.77%,估算接种率为88.75%,差值评价为接种率不可信;而湖北省预防接种信息管理平台OPV基础免疫报告接种率为84.30%,报告接种率可信。结论应继续保持高质量的AFP病例监测系统,并结合实际对AFP监测医院进行合理设置,在重点地区开展脊灰疫苗强化免疫或查漏补种是必要的。同时提示在今后接种率报告时是否以预防接种信息管理平台数据为准,值得进一步研究。
Objective To evaluate the measures taken by the city to maintain polio-free status and put forward the areas that need improvement in the future. Methods The data of 2012 AFP cases surveillance and vaccination were collected and analyzed. Results The incidence of AFP cases in 2012 was 4.73 per 100 000. All the monitoring indicators met the national requirements, but there was an imbalance in monitoring and development and a decrease in quality. Routine immunization surveillance showed that the vaccination rate of OPV based on polio vaccine was 99.77% and the estimated vaccination rate was 88.75%, and the difference was evaluated as inoculation rate was not credible; while the immunization coverage rate of OPV in Hubei vaccination information management platform was 84.30 %, Report the vaccination rate credible. Conclusion It is necessary to maintain a high quality AFP case monitoring system and combine with the actual setting of AFP surveillance hospitals. It is necessary to carry out polio vaccination or vaccination in key areas. At the same time, it is suggested that whether vaccination information management platform data should be prevail in the future vaccination rate report is worth further study.