目的 提高急性弛缓性麻痹(AFP)病例监测系统工作质量,以迅速发现输入性野病毒、疫苗变异株和衍生株病例,保持全市无脊髓灰质炎(脊灰)状态.方法 按照山东省脊灰监测方案的要求,利用济南市脊灰专报系统,开展AFP病例的监测工作.结果 全市2000-2006年共报告AFP病例1762例(其中本地AFP病例260例,外地来济就诊AFP病例1192例,排除病例310例),15岁以下儿童非脊灰AFP病例报告发病率维持在3.10/10万～4.57/10万之间,发病季节存在6～8月小高峰,0～2岁儿童为重点发病对象,免疫史中全程服苗率达95.38%.病例48 h调查率97.90%,合格粪便标本采集率96.77%,标本7 d内送达率96.55%,随访表75 d内送达率均为100%.结论 2000-2006年AFP病例各项监测指标均达到世界卫生组织和卫生部无脊灰证实标准.
Objective This study aimed at improving the sensitivity of the acute flaccid paralysis (AFP) surveillance system in order to detect out the cases with imported wild-type viruses, vaccine variants and derivative strains, and maintain the zero incidence of the poliomyelitis disease. Methods According to the stipulation of Poliomyelitis Surveillance Plan of Shandong province, the monitoring of AFP cases was carried out through the Poliomyelitis Reporting System of Jinan city. Results A total of 1762 cases were reported in Jinan city between 2000 and 2006, of which 260 were local cases, 1192 were migrant ones, other 310 were ruled out of AFP at last. The incidence of non-poliomyelitis AFP under the age of 15 was reported to stay between 3.10/lakh-4.57/lakh. June to August were believed to be the peak season while the group between 0~2 years old were the most often to be hit. The history of immunization revealed that the rate of complete whole course was 95.38%. More than 97.90% cases were interviewed within 48 h of the occurrence of disease. The qualified sampling rate of stool was 96.77%, and more than 96.55% was delivered within 7 days. One hundred percent of the follow-up questionnaire was handed in within 75 days. Conclusion All requirements of the polio-free status have been achieved in the surveillance of AFP cases between 2000 and 2006 according to the stipulations of the WHO and the Ministry of Health.