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巴基斯坦是世界上从未阻断本土脊髓灰质炎(脊灰)野病毒(Wild Poliovirus,WPV)流行的3个国家之一。本报告描述巴基斯坦在2012年1月~2013年9月消灭脊灰中取得的进展,并更新以前的报告。在2012年报告58例WPV病例,2011年为198例。2013年1~9月报告52例WPV病例,2012年同期报告54例。2012年1月以来报告的110例WPV病例中,92例(84%)发生在冲突影响的联邦直辖部落地区(Federally Administered TribalAreas,FATA)和安全无保障的开伯尔-普赫图赫瓦省(Khyber Pakhtunkhwa Province,KP)。Ⅲ型(Type 3)WPV(WPVⅢ)仅在2012年报告的3例中分离到,且在一个地区,最近的报告病例时间是2012年4月。2012年8月~2013年9月,报告了52例Ⅱ型(Type 2)循环的疫苗衍生脊灰病毒(Circulating Vaccine-derived Poliovirus,cVDPVⅡ)病例,其中30例(58%)集中发生在FATA,报告时间为2013年1~9月。自2012年中期以来,在FATA的一些地区,由于地方政府颁布了接种OPV的禁令和发生针对脊灰工作人员的袭击,>35万儿童在开展免疫活动期间未接种OPV。通过在过境点开展OPV接种和在一些区域开展短时间间隔追
Pakistan is one of the three countries in the world that has never blocked the spread of the native poliovirus (WPV). This report describes Pakistan’s progress in polio eradication from January 2012 to September 2013 and updates the previous report. 58 cases of WPV were reported in 2012 and 198 cases in 2011. From January to September 2013, 52 cases of WPV were reported and 54 cases were reported in the same period of 2012. Of the 110 cases of WPV reported since January 2012, 92 (84%) occurred in the Federally Administered Tribal Areas (FATA) affected by the conflict and in the non-secure Khyber Pakhtunkhwa Province (Khyber Pakhtunkhwa Province, KP). Type 3 WPV (WPV III) was isolated only in 3 of the reported cases in 2012 and in one region, the most recent reported case time was April 2012. From August 2012 to September 2013, 52 cases of type 2 circulating vaccine-derived poliovirus (CVVDV) were reported, of which 30 (58%) were concentrated in FATA, The report is from January to September 2013. Since mid-2012, in some parts of the FATA,> 350,000 children have not been vaccinated for OPV during the immunization campaign as a result of the ban on OPV vaccination issued by local governments and the attacks on polio workers. OPV vaccination at border crossings and chase in short intervals in some areas