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段万瑞, 赵生仓, 巴卓玛, 赵建海, 石西安, 薛伟建. 青海省1996~1999年脊髓灰质炎病毒学监测[J]. 中国公共卫生, 2002, 18(3): 320-322. DOI: 10.11847/zgggws2002-18-03-38
引用本文: 段万瑞, 赵生仓, 巴卓玛, 赵建海, 石西安, 薛伟建. 青海省1996~1999年脊髓灰质炎病毒学监测[J]. 中国公共卫生, 2002, 18(3): 320-322. DOI: 10.11847/zgggws2002-18-03-38
DUAN Wan-rui, ZHAO Sheng-cang, BA Zhuo-ma, . Surveillance Study on Poliomyelitis Virus from 1996-1999 in Qinghai Province[J]. Chinese Journal of Public Health, 2002, 18(3): 320-322. DOI: 10.11847/zgggws2002-18-03-38
Citation: DUAN Wan-rui, ZHAO Sheng-cang, BA Zhuo-ma, . Surveillance Study on Poliomyelitis Virus from 1996-1999 in Qinghai Province[J]. Chinese Journal of Public Health, 2002, 18(3): 320-322. DOI: 10.11847/zgggws2002-18-03-38

青海省1996~1999年脊髓灰质炎病毒学监测

Surveillance Study on Poliomyelitis Virus from 1996-1999 in Qinghai Province

  • 摘要: 目的 掌握消灭脊灰工作进展情况和不同人群中脊灰野病毒的消亡状态,为制定有效免疫策略提供依据.方法 在1996~1999年所有AFP病例和AFP病例密切接触者、重点地区5岁以下健康儿童中,采集粪便标本776份检测脊灰病毒,应用2种以上敏感传代细胞培养,用基因序列分析方法判断病毒型别.结果 共检测脊灰病毒24株,非脊灰肠道病毒81株,分离率分别为3.09%与13.53%,经国家脊灰实验室和美国CDC最终鉴定:脊灰野病毒Ⅰ型2株,与印度1998年Ⅰ型野病毒符合率>98%,判定为由印度传入野病毒,其它脊灰病毒均为疫苗病毒.结论 1994年以来全省无本土脊灰野病毒流行,各项监测指标达到和接近国家要求,证实我省已阻断本土脊灰野病毒传播,达到无脊灰标准.传入野病毒的及时发现,反映出AFP病例监测系统敏感性和及时性较高,但该病例的发生提示局部地区存在着脊灰疫苗免疫空白或低接种率水平.

     

    Abstract: Objective In order to understand the progress of poliomyelitis eradication and the status of eradicating wild poliomyelitis in different multitude,and to provide the evidence of formulate the immune strategies for Qinghai province.Methods Seven hundred and seventy six cases,stool specimens were collected from all acute flaccid paralysis(AFP).Persons who got in touch with AFP cases and children below five years old in high risk areas were collected.Twenty four poliovirus were detected in two methods of culture susceptible cell and gene alignment surveillance.Eighteen non polio enteroviruses were also isolated.Results The rate of isolation was 3.09% and 13.53%.The 2 cases wild poliovirus type-1 confirmed by national polio laboratory and America CDC and also confirmed that this wild poliomyelitis virus was imported from India,other was vaccine virus.Conclusion Since 1994,there was no local wild poliovirus found in whole province and high risk areas.The various of surveillance confirmed that our province now reached the goal and every requirement for proving no poliovirus existence.The rapid detection of bordering wild poliovirus indicated that the active surveillance was useful.

     

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