摘要
目的分析辽宁省锦州市2012—2016年传染病监测系统上报急性迟缓性麻痹(AFP)病例的流行病学特征,评价锦州市AFP监测系统的运转情况,为进一步维持无脊髓灰质炎(以下简称"脊灰")工作提供依据。方法基于中国疾病预防控制中心传染病监测系统中AFP监测系统,收集锦州市2012—2016年各地区上报的病例数,描述其流行病学特征;结合系统质量评价指标分析AFP监测质量指标的完成情况,采用Topsis法综合评价锦州市AFP监测系统运行情况。结果锦州市2012—2016年上报AFP病例26例,其中临床诊断病例24例,疑似病例2例,男女性比例为17∶9,散居儿童居多为15例;AFP上报发病率均保持在>1/10万,平均发病率为1.442/10万。按照国家要求,AFP监测系统质量指标完成情况除2016年部分指标未达标外,其他指标均达标。Topsis方法分析锦州市历年指标完成情况结果显示,2012最优,2016年最差。结论锦州市AFP监测系统敏感性符合国家要求,但各年完成情况不平均,应及时加强监督管理,力求逐年有所进步。
Objective To analyze epidemiological characteristics of acute flaccid paralysis （AFP） cases reported during the period from 2012 to 2016 through infectious disease surveillance system for the evaluation on the perfolxnance of AFP monitoring system in Jinzhou municipality, and to provide evidences for maintaining polio-free in the region. Methods Data on AFP cases reported between 2012 through 2016 in Jinzhou municipality were collected form Infec- tious Disease Surveillance System of Chinese Center for Disease Control and Prevention and analyzed with epidemiologi- cal methods. The technique for order performance by similarity to ideal solution （TOPSIS） was adopted to evaluate the performance of AFP monitoring system in Jinzhou municipality. Results Totally 26 AFP cases were reported during the period in the region. Of the reported cases ,24 were clinically confirmed and 2 were suspected; 17 were male and 9 were female;the majority （15） of the reported cases were scattered-living children. The annual AFP incidence was under 1/100 000 and the average annual incidence was 1. 442/100 000 during the period. The annual performance indicators of the AFP monitoring system in Jinzhou municipality met the national requirements during the period, except for those in the year of 2016. The results of TOPSIS analysis showed that the performance indicators of the monitoring system were the best in 2012 and the worst in 2016 according the national requirements. Conclusion The sensitivity of AFP monito- ring system in Jinzhou municipality is up to the standard of national requirements, but the yearly performance of the sys- tem is not same and supervision and management for the system need to be strengthened.
出处
《中国公共卫生》
CAS
CSCD
北大核心
2017年第8期1213-1215,共3页
Chinese Journal of Public Health
