郑志刚, 卓家同, 刘巍, 钟革, 周为文, 蓝光华, 罗水英. 广西壮族自治区消灭脊髓灰质炎策略回顾[J]. 疾病监测, 2005, 20(3): 130-134. DOI: 10.3784/j.issn.1003-9961.2005.3.130
引用本文: 郑志刚, 卓家同, 刘巍, 钟革, 周为文, 蓝光华, 罗水英. 广西壮族自治区消灭脊髓灰质炎策略回顾[J]. 疾病监测, 2005, 20(3): 130-134. DOI: 10.3784/j.issn.1003-9961.2005.3.130
ZHENG Zhi-gang, ZHUO Jia-tong, LIU Wei, ZHONG Ge, ZHOU Wei-wen, LAN Guang-hua, LOU Shui-ying. Review of the Strategy for Poliomyelitis Eradication in Guangxi Zhuang Autonomous Region[J]. Disease Surveillance, 2005, 20(3): 130-134. DOI: 10.3784/j.issn.1003-9961.2005.3.130
Citation: ZHENG Zhi-gang, ZHUO Jia-tong, LIU Wei, ZHONG Ge, ZHOU Wei-wen, LAN Guang-hua, LOU Shui-ying. Review of the Strategy for Poliomyelitis Eradication in Guangxi Zhuang Autonomous Region[J]. Disease Surveillance, 2005, 20(3): 130-134. DOI: 10.3784/j.issn.1003-9961.2005.3.130

广西壮族自治区消灭脊髓灰质炎策略回顾

Review of the Strategy for Poliomyelitis Eradication in Guangxi Zhuang Autonomous Region

  • 摘要: 目的 评价广西壮族自治区所采取的消灭脊灰策略,以继续保持无脊灰状态,并为控制和消除包括麻疹在内的其他传染病、慢性非传染性疾病提供科学依据。方法 提高常规免疫覆盖率、强化免疫,实施应急免疫、加强急性弛缓性麻痹(AFP)监测和实验室监测。漏卡调查、捕获-标记-再捕获等方法应用于应急免疫和提高常规免疫覆盖率。结果 自1992年6月开始,广西无脊灰野病毒病例出现;2 0 0 0年10月,成功通过无脊灰认证。结论 (1)高常规免疫覆盖率是消灭脊髓灰质炎的基础,强化免疫和扫荡免疫能清除薄弱地区和免疫空白点;(2 )漏卡调查、捕获-标记-再捕获等方法使常规免疫、扫荡免疫更加彻底;(3)良好的实验室建设、敏感的AFP监测系统是及时发现疫情,采取阻断措施的先决条件.

     

    Abstract: Objective This Review was conducted to evaluate the strategy taken in Guangxi Zhuang Autonomous Region to eradicate poliomyelitis in order to provide a scientific basis for keeping po- liomyeitis free and controlling and getting rid of other infectious and chronic non-infectious diseases,in-cluding measles.Methods Routine immunization coverage was expanded and,immunity reinforcement and stress immunization were implemented. Surveillance of acute flaccid paralysis(AFP) was strength-ened.Including laboratory monitoring. Investigation of missing cards and capturing-labeling-re-capturing were used for stress immunization and expansion of routine immunization coverage. Results No case of poliomyelitis has been seen in Guang Zhuang Autonomous Region since June 1992,and eradication of poliomyelitis in Guangxi was authenticated in October 2000. Conclusion (1)High routine immuniza-tlon coverage is the basis of eradicating poliomyelitis.Immunization reinforcement and mopping-up im-munization contribute to covering weak and blank regions in immunizations.(2)Investigation of missing cards and capturing-labeling-re-capturing make for perfecting routine and mopping-up immunizations (3)Good laboratory construction and sensitive AFP survey system are prerequisites for timely idemifica-tion and management of the epidemics.

     

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