温州市2004年麻疹的流行特征分析

Analysis of Measles Epidemic Characteristics in Wenzhou in 2004

目的通过对2004年温州市麻疹发病情况的分析,掌握该市麻疹的发病特点,为制定控制或清除麻疹的措施提供依据。方法根据麻疹疫情资料和个案调查表采用流行病学的方法,运用EXCEL进行数据整理和分析。结果温州市2004年共上报疑似麻疹2756例,发病率为34.69/10万。有个案调查的1581例中,主要集中在学龄前儿童和小学生,无明显季节分布,其中有MV免疫史者348例(占22.01%),无MV免疫史者892例(占56.42%),MV免疫史不详者341例(占21.57%)。在个案调查的1581例中,流动人口有723例,其中有MV免疫史者79例(10.93%),无MV免疫史者459例(63.48%),MV免疫史不详者185例(25.59%)。结论根据2004年麻疹的流行特征,拟采取开展强化免疫、调整免疫程序、加强流动人口管理、做好麻疹监测工作等综合措施,只有这样才能真正把麻疹控制工作落到实处。

Objective To analyze measles incidence in Wenzhou in 2004, so as to know the measles epidemic characteristics in the city and provide the strategies for measles control. Methods Through an epidemiological method, Excel was used to arrange and analyze the data according to the measles incidence status and questionares. Results Two thousands seven hundreds and fiftysix cases of measles were reported in Wenzhou in 2004 and the incidence rate was 34.69/100000. One thousands five hundreds and eighty - one cases surveyed were maily pre - school and primary school clfildren and had no obvious seasonal fluctuation. Of which, 348 （22.01%） cases were vaccinated, 892 （56.42%） cases were not and 341 （21.57%） eases without clear immunization records. Of cases surveged, 723 floating cases were included, of which 79 cases were vaccinated （10.93%） 459 cases were not （63.49%） and 185 cases without clear immunization records （25.59%） . Conclusions According to the measles epidemic characteristics in 2004, efforts should be taken, such as carrying out supplementary imnnunization, adjusting immunization schedule, strengthening management of floating population, making full use of measles surveillance system, etc.