沈伟英, 蒋卫平, 张礼根. 2000~2005年海盐县麻疹流行特征分析[J]. 疾病监测, 2006, 21(10): 518-521. DOI: 10.3784/j.issn.1003-9961.2006.10.518
引用本文: 沈伟英, 蒋卫平, 张礼根. 2000~2005年海盐县麻疹流行特征分析[J]. 疾病监测, 2006, 21(10): 518-521. DOI: 10.3784/j.issn.1003-9961.2006.10.518
SHEN Wei-ying, Jiang Wei-ping, Zhang Li-gen.Hai. Analysis on the epidemic characteristics of measles in Haiyan County from 2000 to 2005.[J]. Disease Surveillance, 2006, 21(10): 518-521. DOI: 10.3784/j.issn.1003-9961.2006.10.518
Citation: SHEN Wei-ying, Jiang Wei-ping, Zhang Li-gen.Hai. Analysis on the epidemic characteristics of measles in Haiyan County from 2000 to 2005.[J]. Disease Surveillance, 2006, 21(10): 518-521. DOI: 10.3784/j.issn.1003-9961.2006.10.518

2000~2005年海盐县麻疹流行特征分析

Analysis on the epidemic characteristics of measles in Haiyan County from 2000 to 2005.

  • 摘要: 目的了解海盐县麻疹流行特征,为制定控制对策,降低发病率提供科学依据。方法对2000~2005年该县麻疹发病资料进行统计分析;采用酶联免疫吸附试验(ELISA)检测血清IgM抗体。结果6年间,该县共报告麻疹513例,年均发病率为23.44/10万,2005年发病率为59.29/10万,是该县使用麻疹疫苗以来发病最高年。麻疹发病存在明显季节性。流动人口发病逐年上升,无免疫史者占85.31%,8起麻疹暴发均为流动人口。发病以20岁以上年龄组本地病例为主,占76.76%,流动人口以7岁以下儿童为主,占72.73%。结论海盐县麻疹发病率呈明显上升趋势,发病模式以广泛散发与局部暴发并存。应在维持高水平的儿童麻疹疫苗基础免疫接种率的同时,做好儿童麻疹疫苗复种;实施补充性免疫措施,如强化免疫或"扫荡"式等,最大限度地减少免疫空白仍是今后进一步控制麻疹的关键之一。

     

    Abstract: The present study was conducted to gain insight into the epidemic charac-teristics of measles in Haiyan County and provide scientific basis for drawing up control strategies and decreasing the incidence.Methods Statistical analysis was conducted on the data of measles incidence in Haiyan County from 2000 to 2005.Elisa was adopted to detect IgM antibody in serum.Results 513 cases were reported in this county during the six years and the average anna-al incidence was 23.44/100 thousand.The incidence was 59.29/100 thousand in 2005.When the incidence was the highest since measles vaccine was used.There was significant season features in the onset of measles.The incidence of floating population increased year by year and the rate of cases with non-vaccine history was 85.31%.Eight outbreaks of measles were all caused by float-ing population.The cases were mainly the local one aged over 20 years old,which covered 76.76%.For floating population,children younger than 7 years old were the major cases,which covered 72.73%.Conclusion The incidence of measles in Haiyan County showed a distinctly in-creasing tendency.The extensive sporadic mode and partial outbreak mode coexited.Revaccination of measles vaccine on children should be well done while the basic vaccinnation rate of measles vaccine on children was kept at a high level.Complementary immunization,such as strengthening immunization or mop-up vaccination,should be implemented to decrease vacancy in vaccination to the maximum degree.Which iS sill one of the key problems in the control of measles in the future.

     

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