中国2014年脊髓灰质炎野病毒输入传播的风险评估结果Assessment of the Risk of Wild Poliovirus Importation and Transmission at the Subnational Level of China in 2014
樊春祥;张丽芬;宋凯军;温宁;苏琪茹;马超;郝利新;王华庆;李黎;
摘要(Abstract):
目的评估中国各省(自治区、直辖市,下同)2014年脊髓灰质炎(脊灰)野病毒(Wild Poliovirus,WPV)输入传播的风险,为制定应对策略并采取有效措施阻止WPV输入传播提供参考。方法在WPV输入传播风险评估工具的基础上,用两级指标评估WPV输入传播的风险。一级评估指标包括人群免疫情况、急性弛缓性麻痹病例监测信息报告管理系统运转质量和WPV输入风险,每项一级指标包含多个二级指标。收集相关资料并按照标准对各二级指标进行评分,累加各省的二级指标评分值得到各省分值,根据各省分值综合研判各省WPV输入传播的风险水平。结果西藏、新疆和青海3个省WPV输入传播风险水平为高风险,黑龙江等18个省为中风险,吉林等10个省为低风险。结论应参考WPV输入传播风险评估的结果,分类指导不同风险水平地区,采取有效的应对措施,巩固无脊灰成果。同时应根据维持无脊灰的动态变化,适时调整WPV输入传播风险评估所用的二级指标以适应实际情况。
关键词(KeyWords): 脊髓灰质炎;输入传播风险;风险评估
基金项目(Foundation):
作者(Authors): 樊春祥;张丽芬;宋凯军;温宁;苏琪茹;马超;郝利新;王华庆;李黎;
参考文献(References):
- [1]张颖,罗会明,温宁,等.脊髓灰质炎野病毒输入传播风险评估工具的研究[J].中国疫苗和免疫,2013,19(1):17-19.ZHANG Ying,LUO Hui-ming,WEN Ning,et al.A Study of Risk Assessment Tool on Wild Poliovirus Importation and Transmission[J].Chinese Journal of Vaccines and Immunization,2013,19(1):17-19.
- [2]温宁,罗会明,汪海波,等.2011年新疆维吾尔自治区发生输入脊髓灰质炎疫情后对各省(自治区、直辖市)输入传播风险评估及应对的研究[J].中国疫苗和免疫,2013,19(3):193-198.WEN Ning,LUO Hui-ming,WANG Hai-bo,et al.Study on Risk Assessment and Response of Wild Poliovirus Importation after Polio Imported into Xinjiang Uygur Autonomous Region,2011[J].Chinese Journal of Vaccines and Immunization,2013,19(3):193-198.
- [3]WHO.WHO Statement on the Meeting of the International Health Regulations Emergency Committee Concerning the International Spread of Wild Poliovirus[EB/OL].Available at:http://www.who.int/mediacentre/news/statements/2014/polio-20140505/en/.(accessed November 2014).
- [4]WHO WPRO.Risk Assessment for Staying Polio-free[EB/OL].Manila,the 16th Meeting of the Regional Commission for the Certification of Poliomyelitis Eradication,October 27-29,2010.Available at:http://www.polioeradication.org/Portals/0/Document/Data&Mon-itoring/Risk Assessment/PolioRisk Assmt20101217.pdf.(accessed November 2014).
- [5]Yakovenko ML,Gmyl AP,Ivanova OE,et al.The 2010 outbreak of poliomyelitis in Tajikistan:epidemiology and lessons learnt[J].Euro surveillance:bulletin Europeen sur les maladies transmissibles=European communicable disease bulletin,2014,19(7):20706.
- [6]余文周,甫尔哈提·吾守尔,汪海波,等.新疆维吾尔自治区2011年输入脊髓灰质炎野病毒并引起局部传播的调查处置经验和教训[J].中国疫苗和免疫,2013,19(4):361-364.YU Wen-zhou,Fuerhati·wushouer,WANG Hai-bo,et al.Emergency Response to the Outbreak of Imported Wild Poliovirus in Xinjiang Uygur Autonomous Region in 2011:Experience and Lessons[J].Chinese Journal of Vaccines and Immunization,2013,19(4):361-364.
- [7]Lowther SA,Roesel S,O'Connor P,et al.World Health Organization Regional Assessments of the Risks of Poliovirus Outbreaks[J].Risk Analysis:an Official Publication of the Society for Risk Analysis,2013,33(4):664-679.
- [8]樊春祥,温宁,汪海波,等.中国2012年急性弛缓性麻痹病例监测系统运转情况[J].中国疫苗和免疫,2013,19(5):397-401.FAN Chun-xiang,WEN Ning,WANG Hai-bo,et al.Analysis on Status of Acute Flaccid Paralysis Cases Surveillance System in China in 2012[J].Chinese Journal of Vaccines and Immunization,2013,19(5):397-401.
- [9]Kaliner E,Moran-Gilad J,Grotto I,et al.Silent reintroduction of wild-type poliovirus to israel,2013-risk communication challenges in an argumentative atmosphere[J].Euro surveillance:bulletin Europeen sur les maladies transmissibles=European communicable disease bulletin,2014,19(7):20703.
- [10]Detection of poliovirus in sewage,Brazil[EB/OL].WHO.2014.Available at:http://www.who.int/csr/don/2014_6_23polio/en/.(accessed November 2014).