在尼日尔追踪急性性:半个十年 (2016-2021) 的流行病学肖像 (2016-2021)
El Khalef Ishagh1, Marc Talatou Ouédraogo1, Batouré Oumarou1
1Bureau de L'Organisation Mondiale de La Santé (OMS), Niamey, Niger.
BMC infectious diseases
|January 17, 2025
概括
在尼日尔维持急性性 (AFP) 监测对消除脊髓灰质炎至关重要. 需要改善便样品的质量和运输,特别是在冲突地区.
科学领域:
- 流行病学 流行病学
- 公共卫生 公共卫生
- 传染病监测 传染病监测 传染病
背景情况:
- 全球流传的疫苗衍生的脊髓灰质炎病毒 (cVDPV) 疫情需要强有力的监测.
- 尼日尔在2018年经历了cVDPV疫情,强调需要强有力的急性性 (AFP) 监测.
- 本研究评估了尼日尔的AFP监控,特别是在受冲突影响的地区.
研究的目的:
- 从2016年到2021年全面分析尼日尔的AFP监视趋势,模式和挑战.
- 确定在脊髓灰质炎根除工作中需要改进的领域.
- 为在具有挑战性的环境中提供公共卫生倡议的见解.
主要方法:
- 全国AFP监测数据 (2016-2021) 的分析.
- 包括患者人口统计数据,接种疫苗,cVDPV,AFP病例,便样本,报告及时性和非脊髓灰质炎肠道病毒 (NPEV) 的数据.
- 使用表格,图表和地图来呈现发现.
主要成果:
- 分析了4134例AFP病例 (15岁以下);79.44%接受了≥3剂OPV.
- 在33例病例中检测到cVDPV2,主要是在Zinder省.
- 虽然许多指标达到了目标,但便样品质量 (2016年为69%) 和及时调查/运输都不够理想.
结论:
- 持续的AFP监测对于尼日尔的脊髓灰质炎根除至关重要.
- 提高便样品质量和减少运输时间是改善的关键领域.
- 加强冲突地区的监测对区域公共卫生至关重要.
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