严睿, 何寒青, 周洋, 潘金仁, 邓璇, 符剑, 谢淑云. 2013-2014年浙江省麻疹暴发疫情特征分析[J]. 疾病监测, 2015, 30(10): 824-827. DOI: 10.3784/j.issn.1003-9961.2015.10.007
引用本文: 严睿, 何寒青, 周洋, 潘金仁, 邓璇, 符剑, 谢淑云. 2013-2014年浙江省麻疹暴发疫情特征分析[J]. 疾病监测, 2015, 30(10): 824-827. DOI: 10.3784/j.issn.1003-9961.2015.10.007
YAN Rui, HE Han-qing, ZHOU Yang, PAN Jin-ren, DENG Xuan, FU Jian, XIE Shu-yun. Epidemiological characteristics of measles outbreaks in Zhejiang,2013-2014[J]. Disease Surveillance, 2015, 30(10): 824-827. DOI: 10.3784/j.issn.1003-9961.2015.10.007
Citation: YAN Rui, HE Han-qing, ZHOU Yang, PAN Jin-ren, DENG Xuan, FU Jian, XIE Shu-yun. Epidemiological characteristics of measles outbreaks in Zhejiang,2013-2014[J]. Disease Surveillance, 2015, 30(10): 824-827. DOI: 10.3784/j.issn.1003-9961.2015.10.007

2013-2014年浙江省麻疹暴发疫情特征分析

Epidemiological characteristics of measles outbreaks in Zhejiang,2013-2014

  • 摘要: 目的 了解浙江省麻疹暴发疫情流行病学特征,为探讨针对性的预防控制措施提供参考。方法 采用描述性流行病学方法分析。结果 2013-2014年浙江省共报告麻疹暴发疫情37起,发病123例。家庭聚集性疫情18起(占48.65%),母子关系的占14起(占37.84%),其中母亲先发病,孩子再发病的有13起(占35.14%);2/3的家庭聚集性疫情中首例病例与第2例病例发病时间间隔超过7天。37起暴发疫情均开展应急接种,共接种13 536人,平均366人,平均接到报告前6天开展应急接种。按照疫情发病人数在3例和3例分组,末例发病到应急接种天数有统计学差异。结论 浙江省麻疹暴发疫情主要以家庭聚集性疫情为主,并且多为母传子;每起疫情发病人数不多;疫情报告之前已开展应急接种,处置比较及时。针对浙江省麻疹暴发疫情特点,鼓励开展育龄期妇女和成人含麻疹成分疫苗接种。

     

    Abstract: Objective To describe the epidemiological characteristics of measles outbreaks in Zhejiang province, and provide evidence for the development of specific measles prevention and control strategies.Methods Descriptive epidemiological analysis was conducted.Results Totally 37 measles outbreaks, involving 123 cases, were reported in Zhejiang during 2013-2014. Among these outbreaks, 18 were family clustering(48.65%), 14 affected mothers and children(37.84%) and 13 were mother to child transmissions(35.14%). The interval between the first measles case and the second case was 7 days in 2/3 family clustering. Emergency vaccination was conducted for all the 37 outbreaks, a total of 13 536 persons were vaccinated, averagely 366 persons for each outbreak. Emergency vaccination was conducted averagely 6 days before the last case report. The outbreaks were classified according the case number 3 cases or not. The difference in the interval between the last case report and emergency vaccination had statistical significance.Conclusion Family clustering was the major form of measles outbreaks in Zhejiang, and most infection was caused by mother to child transmission. Each outbreak involved limited cases. Timely response and emergency vaccination had been conducted before the report of measles outbreaks. According to the measles outbreak characteristics in Zhejiang, it is suggested to conduct measles containing vaccine immunization in adults and child-bearing aged women.

     

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