2005年春季金华市流行性脑脊髓膜炎疫情的流行病学分析

Epidemiological analysis on situation of epidemic cerebrospinal meningitis in Jinhua City in spring of 2005

目的了解金华市2005年春季流脑流行状况,探索流脑高发的原因,为制定控制流脑的有效措施提供依据。方法对2005年1月1日至4月30日金华市的流脑病例进行流行病学分析。结果全市共报告流脑病例43例,报告发病率为0.81/10万,是继1996年以来发病率最高的一年;病例年龄构成以15岁以上人群为主;职业构成以外来民工和学生为主,儿童所占比例下降。结论2005年春季金华市流脑呈现高发态势。在民工中开展流脑疫苗接种,将A+C群流脑疫苗纳入常规免疫,预防性服药和有效的应急接种等是当前控制流脑发病的有效措施。

Objective This study was conducted to understand the situation of epidemic eerebrospinal meningitis （ECM） in Jinhua City in spring of 2005, explore the reasons for high incidence of epidemic cerehrospinal meningitis, provide a scientific evidence for formulating the effective measures of ECM control, Methods An epidemiologieal analysis was performed on cases of ECM in Jinhua City from January 1, 2005 to April 30, 2005. Results A total of 43 cases of epidemic cerebrospinal meningitis were reported, with a incidence rate of 0.81/Lakh, which showed the year with the highest incidence since 1996. The cases were mainly among people above 15 years, and in terms of occupation composition, peasant workers and students from places other than the city were predominant, with cases of children decreased in proportion. Conclusion In this year, epidemic eerebrospinal meningitis situation in our city in spring showed a trend of high incidence. At present, effective measures for ECM control are carrying out ECM vaccination among peasant workers, adopting group A ＋C vaccine of epidemic cerebrospinal meningitis as routine immunity, and taking medicine for prevention and inoculating of effective emergency,et al.