尹志英, 占炳东, 钟建跃, 来时明. 1985 - 2010年浙江省衢州市麻疹流行特征及控制策略探讨[J]. 疾病监测, 2011, 26(7): 508-511,515. DOI: 10.3784/j.issn.1003-9961.2011.07.003
引用本文: 尹志英, 占炳东, 钟建跃, 来时明. 1985 - 2010年浙江省衢州市麻疹流行特征及控制策略探讨[J]. 疾病监测, 2011, 26(7): 508-511,515. DOI: 10.3784/j.issn.1003-9961.2011.07.003
YIN Zhi-ying, ZHAN Bing-dong, ZHONG Jian-yue, LAI Shi-ming. Discussion on epidemiology of measles and control measures in Quzhou municipality in Zhejiang province, 1985 - 2010[J]. Disease Surveillance, 2011, 26(7): 508-511,515. DOI: 10.3784/j.issn.1003-9961.2011.07.003
Citation: YIN Zhi-ying, ZHAN Bing-dong, ZHONG Jian-yue, LAI Shi-ming. Discussion on epidemiology of measles and control measures in Quzhou municipality in Zhejiang province, 1985 - 2010[J]. Disease Surveillance, 2011, 26(7): 508-511,515. DOI: 10.3784/j.issn.1003-9961.2011.07.003

1985 - 2010年浙江省衢州市麻疹流行特征及控制策略探讨

Discussion on epidemiology of measles and control measures in Quzhou municipality in Zhejiang province, 1985 - 2010

  • 摘要: 目的 分析浙江省衢州市1985 - 2010年麻疹流行病学特征,探讨控制麻疹策略。 方法 采用描述性流行病学方法对《疾病监测信息报告管理系统》、《突发公共卫生事件报告管理信息系统》和《麻疹监测系统》资料进行分析,运用集中度和圆形分布法研究疾病的时间分布特征。 结果 衢州市1985 - 2010年累计报告麻疹5116例,年平均发病率为8.30/10万,流行周期为4~5年。免疫预防工作薄弱和流动人口聚集地发病较高,发病高峰集中在五一前后,1岁组和15岁组发病构成呈明显上升趋势,散居儿童和农民发病构成逐年上升。血清标本采集率仅为80%,70%的患者无免疫史或免疫史不详。 结论 提高易感人群麻疹免疫覆盖率,适时开展重点对象的麻疹强化免疫,加强疫情监测和控制院内感染是控制、消除麻疹的有效手段。

     

    Abstract: Objective To analyze the epidemiological characteristics of measles in Quzhou from 1985 to 2010 and provide evidence for the development of measles elimination strategies and measures. Methods Descriptive epidemiological analysis was conducted on the incidence data of measles reported through disease reporting information system, public health emergency reporting system and measles surveillance system. The time distribution of measles cases was analyzed with concentration grade and circular distribution methods. Results A total of 5116 measles cases were reported in Quzhou during this period with the average annual incidence of 8.30/lakh. The epidemic occurred every 4-5 years, which mainly affected the people who failed to vaccination and the floating population. The incidence peak occurred in late April and early May. The proportions of measles cases in age group of 1 and 15 increased obviously. The cases in children outside child care settings and farmers increased by years. The collection rate of serum samples was only 80%, and 70% of the cases were without or with unknown immunization history. Conclusion It is necessary to increase the coverage of measles vaccination in susceptible population, conduct supplementary immunization activity in target population and strengthen the measles surveillance and control of nosocomial infection, which are effective to control and eliminate measles.

     

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