鞍山市10年AFP监测系统分析及评价

目的为维持鞍山市无脊髓灰质炎(脊灰)状态，为进一步地做好消灭脊灰工作提出科学依据。方法对鞍山市1993～2002年急性弛缓性麻痹(AFP)病例进行监测系统分析及评价。结果①报告灵敏度由1993年0．33／10万上升至2000年2．08／10万。②48h调查率100％。③监测报告和零病例报告及时率98％。④合格粪便标本采集率95．9％。⑤采样7d内送检率92％。⑥60～75d随访及时率93％。结论①15岁以下儿童非脊灰AFP病例报告发病率10年间明显上升。远远超过国家1／10万标准，灵敏度较高。②AFP病例监测、调查、采样、送样、随访、常规报告均高于国家目标要求。③提高和保持监测水平。

Evaluation on the AFP Supervision System in Anshan City within 10 Years

Objective] To provide scientific basis for maintaining nil number of polio in Anshan. Methods] Analysis and evaluation were carried out on the supervision system for AFP cases in Anshan from 1993 to 2002. Results] The report sensitivity increased from 0.33/100 000 (1993) to 2.08/100 000 (2002); 48 hours investigation rate was 10%; prompt report rate on supervision and nil case number was 98%; eligible rate of stool specimen collection was 95.9%; submission rate of sample inspection within 7 days was 92%; prompt follow-up rate between 60 to 75 days was 93%. Conclusion] Morbidity report of AFP among children under 15 increased rapidly within 10 years with a high sensitivity; supervision, survey, sampling, sample submission, follow-up work and regular report about AFP cases all exceeded the national standard; it is expected to maintain the supervision level.