江苏省1995年急性弛缓性麻痹（AFP）病例的流行病学与监测分析

江苏省１９９５年共报告急性弛缓性麻痹（ＡＦＰ）病例２１３例，分布在７０个县（市、区，下同），占全省县数的６６．４％，其中脊髓灰质炎（脊灰）５例。１５岁以下儿童非脊灰ＡＦＰ报告发病率为１．６１／１０万，脊灰皇散发。ＡＦＰ病例１４天内合格粪便标本采集率为７０％，４８小时内调查率为９６％；全年共分离６株脊灰疫苗病毒，已有３年末发现脊灰野病毒所致病例。此结果显示：江苏省通过采取综合措施，包括做好口服脊灰疫苗（ＯＰＶ）常规免疫，开展强化免疫，建立ＡＦＰ病例监测系统，加强管理等，消灭脊灰工作取得了很大进展。但仍有不足之处，如双份合格粪便标本的采集率、及时随访率等都较低，尚须进一步努力。

EPIDEMIOLOGY AND SURVEILLANCE OF ACUTE FLACCID PARALYSIS(AFP)1995 IN JIANGSU PROVINCE

13 cases of acute flaccid paralysis(AFP)were reported in 1995 in Jiangsu Province.A totalnumber of 70 counties were involved, accounting for 66. 4% of total amount of counties in JiangsunProvince. Out of 213 AFP cases, 5 were confirmed as polio.The rate of reported non-polio AFPcases was 1.6/100,000 for children under 15 years old.A geographically sporadic distribution ofpolio was noticed with no seasonal peak.70% of the total AFP cases had the two stool specimenscolected within 0-14 days after paralysis.96% of AFP cases had been investigated within 48hours after being reported. 6 strains of polio vaiccine virus were isolated in 1995.No wild-typepolio virus was found for three years in succession. The results showed that substantial progress to-wards poliomyelitis eradication had been achieved through comprehensive measures includingestablishment of AFP surveillance system, introduction of oral poliovirus vaccine(OPV)andenhancing management for poliomyelitis eradication. But,the collection rate of 2 stool specimens ofAFP cases whithin 0-14 days after paralysis and delivery rate of follow-up forms of AFP cases toProvincial Epidemic Prevetion Station within 75 daus were low.In order to reach the target ofpoliomyelitis eradication, much more efforts need to be made.