云南省1995年急性弛缓性麻痹病例监测分析

云南省是脊髓灰质炎（脊灰）高危省份之一。近年来急性弛缓性麻痹（ＡＦＰ）病例监测工作比较薄弱，ｌ９９３年１５岁以下儿童ＡＦＰ病例报告发病率仅为０．３／１０万，１９９４年为０．４６／１０万，ｌ９９５年升至１．４６／１０万；作脊灰ＡＦＰ病例报告发病率为１．１６／１０万。ｌ９９５年在边境地区发现了输入性脊灰野病毒病例。当前边境地区监测工作还相当薄弱，还存在ＡＦＰ病例漏报、不报等情况。输入性脊灰野病毒病例的发现预示着目前我省边境地区存在着脊灰野病毒的传播，该地区已成为我省乃至我国消灭脊灰的前沿。应采取特殊策略迅速改善边境地区的监测敏感性和质量，保持人群高免疫水平。

SURVEILLANCE ON AFP IN YUNNAN PROVINCE OM 1995

unnan Province is one of the high-risk areas for poliomyelitis in our country,The surviellanece work on AFP cases has been weak there recent years,In 1993.the incidence of AFPcases reported under l5 years old children was 0.3/l00,000 in l994 was 0.46/100,000 in 1995 itrdised to l.46/l 00,000 and the non-polio cases reported was l.16/100,000.Also,in l995,wefound a wild-type poliovinis caused poliomyelitis case at the border of the province that was im-poted from abroad.At pasent,the surveilianee work at the border was rather weak,because theAFP cases were found to be failed to report or even not reported.The imported poliovirus ofwild-type meant that in the border area of Yunnan Province there might have transmission ofwild-type polio virus.So this area will stand as a forwrd position in Yannan Province or evenin our country in considering of polio elimination.We emphasize that special measures showed be taken to improve the surveillance quality at the border and sustain a high immune level in popula-tions.