Surveillance to Track Progress Toward Polio Eradication - Worldwide, 2018-2019
Surveillance to Track Progress Toward Polio Eradication - Worldwide, 2018-2019
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DOI：
10.15585/mmwr.mm6920a3externalicon
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发表时间：
2020-05-22
影响因子：
33.9
通讯作者：
Anand, Abhijeet
中科院分区：
文献类型：
--
作者：
Lickness, Jacquelyn S.;Gardner, Tracie;Anand, Abhijeet
关于此主题，我们已经了解了哪些信息？高质量的监测对实现根除脊髓灰质炎至关重要。急性弛缓性麻痹（AFP）监测是检测脊髓灰质炎病毒的主要手段，在选定的地点进行环境监测作为补充。本报告增加了哪些内容？2019年，40个优先国家中有25个（63%）达到了全国AFP监测指标。2018年至2019年，实现有针对性的AFP检测和粪便采集充足性指标的优先国家比例有所下降。国家以下一级的监测差距仍然存在，这对公共卫生实践有何影响？所有国家都必须解决国家和国家以下各级的监测差距，以确保迅速发现脊灰病毒的传播。加强和保持敏感监测的重要活动包括有效的病例发现、调查、报告、监测和监督。
What is already known about this topic?High-quality surveillance is essential to achieving polio eradication. Acute flaccid paralysis (AFP) surveillance is the primary means of detecting poliovirus, supplemented by environmental surveillance in selected locations.What is added by this report?In 2019, 25 (63%) of 40 priority countries met AFP surveillance indicators nationally. The proportion of priority countries that achieved targeted AFP detection and stool collection adequacy indicators declined from 2018 to 2019. Surveillance gaps remained at the subnational level.What are the implications for public health practice?All countries must resolve national and subnational surveillance gaps to ensure that poliovirus circulation is quickly detected. Important activities to enhance and maintain sensitive surveillance include effective case detection, investigation, reporting, monitoring, and supervision.