刘洋, 王青. 重庆市麻疹疫苗补充免疫前后的流行病学特征分析[J]. 疾病监测, 2016, 31(12): 1037-1040. DOI: 10.3784/j.issn.1003-9961.2016.12.014
引用本文: 刘洋, 王青. 重庆市麻疹疫苗补充免疫前后的流行病学特征分析[J]. 疾病监测, 2016, 31(12): 1037-1040. DOI: 10.3784/j.issn.1003-9961.2016.12.014
LIU Yang, WANG Qing. Epidemiology of measles before and after measles supplementary immunization in Chongqing[J]. Disease Surveillance, 2016, 31(12): 1037-1040. DOI: 10.3784/j.issn.1003-9961.2016.12.014
Citation: LIU Yang, WANG Qing. Epidemiology of measles before and after measles supplementary immunization in Chongqing[J]. Disease Surveillance, 2016, 31(12): 1037-1040. DOI: 10.3784/j.issn.1003-9961.2016.12.014

重庆市麻疹疫苗补充免疫前后的流行病学特征分析

Epidemiology of measles before and after measles supplementary immunization in Chongqing

  • 摘要: 目的 描述与分析补充免疫前后重庆市麻疹流行病学特征,为完善防控策略提供参考。方法 采用描述性流行病学方法,对2006-2008年、2013-2015年麻疹高发年份发病资料进行统计分析。结果 麻疹疫苗补充免疫前后,麻疹流行病学特征变化主要表现为:时间分布曲线不再保持2006-2008年较为一致的单峰分布特征,近3年每年流行时间明显延长;城镇病例构成比以及由主城区报告病例构成比上升明显,成为近3年7-9月流行高峰的主要来源;8月龄儿童发病比例上升明显,7~14岁补充免疫对象发病比例显著下降,病例以散居儿童为主。结论 常规免疫质量下滑与疫情处置不及时导致疫情高发。应根据麻疹流行特征,加强重点季节、重点地区疫情监测,采取提高适龄儿童含麻疹成分疫苗首针及时接种率和全程接种率、加强查验接种证补种工作等措施,降低麻疹发病。

     

    Abstract: Objective To understand the epidemiological characteristics of measles before and after the implementation of measles supplementary immunization activity (SIA) in Chongqing, and provide evidence for the improvement of measles prevention and control. Methods Descriptive epidemiological analysis was conducted by using the incidence data of measles in Chongqing during 2006-2008 (before the implementation of SIA) and during 2013-2015 (after the implementation of SIA). Results The measles epidemiological characteristics changed after the implementation of measles SIA:the incidence curves was no longer with single peak during 2013-2015 compared with that during 2006-2008, and the incidence season became obviously longer. The cases in urban area increased significantly, accounting for the highest proportion of the total cases during this period. The cases in age group 8 months increased obviously; but the cases in age group 7-14 years due to the SIA in this age group declined. The cases occurred sporadically. Conclusion The decline in the quality of routine immunization and delayed response of outbreaks has resulted in the high incidence of measles. Based on measles epidemiological characteristics, it is necessary to strengthen the surveillance in high incidence season and areas at high risk, improve coverage of the first dose and two doses of measles-containing vaccine, conduct the catch-up activity after checking immunization records to reduce the incidence of measles.

     

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