沙吾拉西·热加甫, 玛合木提江·库尔班, 谢娜, 凯赛尔·吾斯曼, 孙璐. 2012-2018年新疆维吾尔自治区麻疹流行病学特征分析[J]. 疾病监测, 2019, 34(12): 1109-1112. DOI: 10.3784/j.issn.1003-9961.2019.12.016
引用本文: 沙吾拉西·热加甫, 玛合木提江·库尔班, 谢娜, 凯赛尔·吾斯曼, 孙璐. 2012-2018年新疆维吾尔自治区麻疹流行病学特征分析[J]. 疾病监测, 2019, 34(12): 1109-1112. DOI: 10.3784/j.issn.1003-9961.2019.12.016
Shawulaxi·Rejiafu, Mahemutijiang·Kuerban, Na Xie, Kaisaier·Wusiman, Lu Sun. Epidemiological characteristics of measles in Xinjiang, 2012–2018[J]. Disease Surveillance, 2019, 34(12): 1109-1112. DOI: 10.3784/j.issn.1003-9961.2019.12.016
Citation: Shawulaxi·Rejiafu, Mahemutijiang·Kuerban, Na Xie, Kaisaier·Wusiman, Lu Sun. Epidemiological characteristics of measles in Xinjiang, 2012–2018[J]. Disease Surveillance, 2019, 34(12): 1109-1112. DOI: 10.3784/j.issn.1003-9961.2019.12.016

2012-2018年新疆维吾尔自治区麻疹流行病学特征分析

Epidemiological characteristics of measles in Xinjiang, 2012–2018

  • 摘要:
    目的分析新疆维吾尔自治区(新疆)2012 — 2018年麻疹流行病学特征。
    方法对中国疾病监测信息报告管理系统中2012 — 2018年报告的新疆麻疹发病资料进行描述流行病学分析。
    结果2012—2018年共报告麻疹9 817例,死亡24例。 2012年以来疫情处于上升趋势,2016年达到最高峰,报告发病率为12.09/10万,2017年和2018年发病率下降明显,2018年发病率最低,为0.36/10万;新疆麻疹主要分布在喀什、和田、克孜勒苏柯尔克孜自治州、阿克苏、乌鲁木齐市、伊犁州等地区,病例数占全疆总病例数的71.48%;每年3 — 6月报告发病数达到最高峰,2015年11、12月麻疹疫情开始上升,2016年1、2月达到高峰;2012 — 2018年<8月龄组和8~17月龄组构成比下降;18~47月龄和15~39岁组构成比无明显变化;4~14岁组和≥40岁组构成比逐年上升;8~23月龄儿童中有20.94%的儿童有1剂次免疫史、1.40%有2剂次免疫史,2~6岁儿童中14.73%的儿童有1剂次免疫史,21.30%有2剂次免疫史,0剂次和免疫史不详病例所占比例分别为51.93%、25.86%;2012 — 2018年2 595例(26.43%)麻疹病例发生了并发症。
    结论新疆2016 — 2018年麻疹报告发病呈下降趋势,但仍存在薄弱地区和人群,应提高常规免疫接种率和及时接种率(≥95%)、做好入托、入学查验接种证工作,加强麻疹流行病学和实验室检测,努力实现消除麻疹目标。

     

    Abstract:
    ObjectiveTo understand the epidemiological characteristics of measles in Xinjiang from 2012 to 2018.
    MethodsDescriptive epidemiologic method was used to analyze the incidence data of measles collected from Chinese Disease Surveillance Information Reporting System.
    ResultsA total of 9 817 measles cases, including 24 deaths, were reported in Xinjiang from 2012 to 2018. The incidence of measles was in increase since 2012 and peaked in 2016. The reported incidence was 12.09/100 000. The incidence of measles declined in 2017 and 2018, and the incidence rate was lowest in 2018 (0.36/100 000). The measles cases were mainly distributed in Kashgar, Hetian, Kezhou, Aksu, Urumqi and Yili in Xinjiang, accounting for 71.48% of the total cases. The annual incidence peak of measles was during March-June. In 2016, the measles incidence began to increase in November and December, and peaked in January and February in 2017. From 2012 to 2018,The cases proportions in age groups 8 months and 8–17 months decreased, the case proportions in age groups 18–47 months and 15–39 years showed no significant change, and the case proportions in age groups 4–14 years and ≥40 years increased year by year. In children aged 8–23 months, 20.94% had one dose of measles immunization, 1.40% had two doses of measles immunization. In children aged 2–6 years, 14.73% had one dose of measles immunization, 21.30% had two doses of measles immunization, and the proportions of the cases receiving no measles immunization and with unknown immunization status were 51.93% and 25.86% respectively; From 2012 to 2018, 2 595 measles cases (26.43%) had complications.
    Conclusion Measles incidence declined year by year from 2016 to 2018 in Xinjiang, but areas or populations at high risk still existed. We should improve routine immunization coverage rate and timely immunization rate (>95%) for measles, vaccination certificate checking for school and kindergarten entrances and strengthen measles epidemiology and laboratory testing to achieve the goal of eliminating measles.

     

/

返回文章
返回