广西1997～2003年麻疹高危县动态甄别及局部强化免疫效果评价

EVALUATION OF THE STRATEGY TO IDENTITY THE HIGH RISK COUNTIES AND CATCH-UP IMMUNIZATION FOR MEASLES COMTROL IN GUANGXI,CHINA

目的 :探讨对麻疹高危县进行动态甄别及局部强化免疫对降低麻疹发病及流行的效果。方法 :对麻疹高危县进行逐年动态甄别并采取局部强化免疫措施。结果 :同前 4年相比 ,甄别强化 7年间爆发减少 35 4起 ,发病减少 4 832 7例 ,死亡减少 2 5 5例 ,为社会挽回经济损失 5 6 38万元。总投入 4 72 .7万元 ,投入产出比为 1∶ 1 2 .5 8。结论 :在卫生资源相对不足、麻疹发病水平相对较高的地区进行辖区单位动态甄别和开展局部强化普种干预 ,不失为一控制发病与流行的投入少产出高、针对性强。

Objective:To control and prevent measles outbreak and further endemic.Methods:To identify the high risk counties and launch catch up Immunization Result:354 outbreaks with 48 327 of measles cases and 255 death cases have been prevented comparing with those before the intervention 4 727 million, and 56 38 million yuan RMB was saved Cost effectiveness is 1∶12 58.Conclusion:To identify the high risk counties and launch catch up Immunization is a practical strategy with good outcome and high benefits.