摘要
青岛市 1990～ 2 0 0 3年共报告成人麻疹 2 30例 ,年平均报告发病率为 0 30 /10万 ( 0～ 1 17/10万 )。 1997年以前 ,成人麻疹呈散发 ,而 1998年以后发病明显增加 ,1998～ 2 0 0 3年年平均报告发病率为 0 6 0 /10万 ( 0 13/10万～1 17/10万 ) ,与 1990～ 1997年的年平均报告发病率 0 0 7/10万相比 ,上升了 7 5 7倍。发病高峰在每年的 3～ 5月。 71 31%的病例为 18～ 2 4岁 ,196 9年及以后出生人群的发病危险是 196 9年以前出生人群的 19 83倍。外来人口病例占总病例的 4 8 2 6 % ,外资和民营企业的工人 (占 4 4 35 % )、大学生 ( 14 78% )、农民 ( 11 74 % )等是成人麻疹发病的重点人群。外来人口发病是青岛市成人麻疹报告发病率升高的主要因素 ,无麻疹疫苗免疫史、免疫失败是导致成人麻疹发病增高的关键原因。
A total of 230 cases of adult measles were reported during 1990～2003,the annual average incidence was 0 30 cases per 100,000 persons (0～1 17/100000) The adult measles occurred dispersedly before 1997,cases increased obviously since 1998,and the annual average incidence was 0 60 cases per 100,000 persons which increased 7 57 times more than the incidence 0 07/100,000 during 1990～1997 The incidence peak was during March to May 71 31% of adult measles cases occurred among the population aged 18～24 years old The Relative Risk (RR) of person born in or after 1969 was 19 83 times higer than that of person born before 1969 48 26% of the cases were floating population within whom the high risk populations were the workers in foreign-capital or own-ship companies (44 35%),college students (14 78%) and villagers (11 74%) Adult measles cases in floating population were the main factor resulting in the incidence increasing in Qingdao The key reasons leading to the increase of adult measles were zero dose vaccination and vaccination failure
出处
《中国计划免疫》
2004年第4期225-227,共3页
Chinese Journal of Vaccines and Immunization
