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目的:分析2012-2015年衢州市急性弛缓性麻痹病例监测信息报告管理系统(Acute Flaccid Paralysis Surveillance Information Report Management System,AFPSIRMS)运转情况,评价AFP病例监测质量。方法:采用描述性流行病学方法分析2012-2015年衢州市AFPSIRMS的监测数据。结果:2012-2015年衢州市共报告AFP病例37例,所有病例均为脊髓灰质炎(脊灰)排除病例,年报告发病率介于1.51/10万~3.63/10万之间,监测敏感性和及时性指标均达到卫生部监测方案要求。辖区各县(市/区)均有病例报告,5岁以下儿童占72.97%,男女性别比为1.85∶1,无明显季节性分布,36例病例脊灰疫苗免疫史≥3剂。检出非脊灰肠道病毒(NEPV)6例,阳性率16.23%,检出三型脊灰疫苗毒株1例。结论:2012-2015年衢州市AFPSIRMS运作良好,应进一步加强对基层疾控人员和临床医务人员的培训,提高报告意识和调查处置质量。
Objective: To analyze the operation status of Acute Flaccid Paralysis Surveillance Information Reporting Management System (AFPSIRMS) in 2012-2015 and evaluate the quality of AFP case monitoring. Methods: Descriptive epidemiological methods were used to analyze the monitoring data of AFPSIRMS in Quzhou during 2012-2015. Results: A total of 37 cases of AFP were reported in Quzhou between 2012 and 2015. All the cases were polio-negative (polio) cases with the annual reported incidence ranging from 1.51 / 100,000 to 3.63 / And timely indicators have reached the Ministry of Health monitoring program requirements. There are case reports in all counties (cities / districts) in the area, accounting for 72.97% of children under 5 years of age. The sex ratio of men to women is 1.85:1. There is no obvious seasonal distribution. The immunization history of poliovirus in 36 cases is ≥3. Six cases of non-polio enteric virus (NEPV) were detected, the positive rate was 16.23%. One case of poliovirus type III was detected. Conclusion: From 2012 to 2015, AFPSIRMS in Quzhou operated well. Training of grassroots CDC and clinical staff should be further strengthened to raise awareness and investigate the quality of the reports.