禹城市1997～2003年急性弛缓性麻痹病例流行病学分析

目的　了解禹城市急性弛缓性麻痹病例 (AFP)的流行病学特征 ,找出薄弱环节 ,为消灭脊灰提供科学依据。方法　对 1997～ 2 0 0 3年报告的AFP病例进行流行病学分析。结果　 1997～2 0 0 3年共报告AFP病例 5 9例 ,其中 11例被山东省卫生防疫站脊灰监测中心确诊为非AFP ,年均报告发病率为 6 83/10万 ;乡镇级医院无AFP病例报告 ,病例大部分为 0～ 4岁儿童 ,占总病例数的 75 .0 0 % ;发病时间和地区无明显聚集趋势 ;有 12 . 5 0 %的儿童未全程免疫或免疫史不详 ,甚至于出现零剂次。结论　乡镇级医院在监测系统敏感性方面存在较严重问题。今后应加强乡镇医务人员的技术培训、AFP病例的筛检工作和提高脊灰疫苗有效接种率。

Epidemiological Analysis on Cases of Acute Flaccid Paralysis from 1997 through 2003 in Yucheng City

Objective This analysis was designed to help learn about the epidemiological characteristics of acute flaccid paralysis (AFP) so as to find out weakness in working and provide scientific basis for eliminating poliomyelitis. Methods Epidemiological analysis was carried out in terms of AFP cases reported from 1997 to 2003. Results There were a total of 59 cases of AFP reported during this period, 11 of which had been diagnosed as non-AFP by Center for Poliomyelitis Monitoring of Shandong Sanitation and Anti-epidemic Station, and the morbidity reported annually was 6 83/lakh in average;Country and Town-level hospitals had no AFP cases and most sufferers were children aged between 0-4 years old, accounting for 75% of the total; there was no noticeable convergent trend in regard to the time and location of onsets; 12 5% of children had no full-course immunization or detailed record of immunization history or even no immunization. Conclusion In the future, training in techniques for medical personnel in counties and towns, screening of AFP cases and the rate of effective immunization against poliomyelitis should be further strengthened.