【摘要】 目的分析外省来京就医急性弛缓性麻痹(Acute Flaccid Paralysis,AFP)病例的监测情况,为制定相关监测策略提供参考。方法对2007～2010年北京市医疗机构报告的外省来京就医AFP病例监测数据进行分析。结果外省来京就医AFP病例共804例,其中来自河北、河南、山东、山西省和内蒙古自治区病例占全部报告病例的79.5%;完成流行病学调查534例,麻痹后非首次就诊413例,其中医疗机构未报告的341例,占82.6%。2010年江西省来京就医AFP病例粪便标本检出Ⅲ型脊髓灰质炎(脊灰)疫苗高变异株病毒。结论外省来京就医AFP病例来源广泛,维持无脊灰难度较大,AFP病例监测系统存在漏洞,应建立省际间AFP病例监测信息管理平台,提高监测效率。更多还原

【Abstract】 Objective To analysis the data of the acute flaccid paralysis (AFP) of migrant people in Beijing, to provide reference for formulating the surveillance strategies. Methods To analyze AFP surveillance data submitted by Beijing medical institutions during 2007-2010. Results 804 AFP cases among migrant population was analyzed, 79.5% of them came from Hebei, Henan, Shandong, Shanxi provinces and Inner Mongolia Autonomous Region; 534 cases competed epidemiological survey. 413 paralysis cases had received medical treatment more than once, 82.6% of them (341 cases) were not reported by medical institutions to local centers for disease control and prevention. Poliomyelitis live vaccine Ⅲ high mutant strain was found in Beijing in 2010. Conclusions Maintaining polio free faces a big challenge in Beijing. Surveillance system for poliomyelitis needs to be improved. It is necessary to set up management system of surveillance information between provinces.更多还原