2001～2004年合肥市麻疹监测系统数据分析

Analysis of Measles Surveillance Data from 2001 to 2004 in Hefei

目的 评价合肥市麻疹监测系统数据，为控制和消除麻疹提供依据。方法 对2001～2004年合肥市确诊的539例麻疹病例进行流行病学分析，并用ELISA（酶联免疫吸附试验）法检测血清麻疹IgM抗体和风疹IgM抗体。结果2001～2004年平均发病率为3．01／10万，2004年较2001年发病下降了43．6％，发病人群主要为中、小学生，〈15岁儿童占总病例数的63．1％。结论 应进一步对薄弱地区、薄弱人群进行MV的加强免疫活动，控制麻疹爆发；在有条件的地区对1～14岁儿童开展麻疹一腮腺炎一风疹联合疫苗使用，同时注意〈1岁和20岁以上人群发病逐渐增长的趋势。

Objective In order to provide the basis for eliminating and controlling measles in Heifei city, evaluating the operation status of measles surveillance system. Methods Data of 539 measles cases during 2001 ～ 2004 were analyzed. IgM antibody of measles and rubella was detected with ELISA. Results The average measles incidence rate in 2001 ～ 2004 was 3.01 per hundred thousands. Compared with 2001, the incidence rate in 2004 had decreased 43.6%. Most measles cases were the students in primary and middle schools. 63.1% cases were the students aged 0 ～ 15 years old. Conclusions MV immunity in the weak district and crowd should be strengthened in order to prevent measles outbreaks. MMR vaccine should be used to children in good ecconomic condition area. At the same time, we should pay attention to increasing trend of the incidence in population whose age were less than 1 years old and more than 20 years old.