目的 探讨控制麻疹的策略和措施.方法 对2003-2005年山西省临汾市麻疹发病情况进行分析.结果 774例麻疹中,农村人口702例,城市人口72例;农村人口发病率是城市人口的9.75倍;农村麻疹发病人数呈逐年上升趋势,2005年发病587例,是同期城市麻疹的10.8倍.农村麻疹和城市麻疹发病率差异有统计学意义(P＜0.05).结论 由于农村人口发病人数逐年增加,建议完善农村计划免疫管理;开展麻疹减毒活疫苗强化免疫;加强基层卫生院、医院医务人员考核和培训力度;充分发挥政府的领导及干预作用.
Objective This study was conducted to develop strategies and measures for the control of measles in the City of Linfen. Methods Analysis was done of the data on measles collected from 2003 to 2005 in Linfen. Results Of the 744 cases of measles, there were 702 cases who were rural population and 72 cases City dwellers, with the incidence 9.75 times higher among rural population than in those in city. The number of measles cases increased year by year with a total of 587 rural cases reported in 2005, which was 10.8 times as many as that in the city in the same period, there being a statistically significant difference in the incidence of measles between the rural areas and the city (P0.05). Conclusion It is seen that the number of measles cases in rural areas increases with years. We suggest that the management of planned immunization in the rural areas be further improved through MV catch-up immunization campaign, strengthened supervision of township hospitals and village clinics, and training of medical personnel there, where the role of local authorities in the leadership and intervention should be brought into full play.