北京市丰台区2005～2007年麻疹流行病学特征分析

Epidemiological characteristics of measles in Fengtai District of Beijing during 2005～2007

目的掌握2005～2007年麻疹流行病学特征,为制定麻疹和调整麻疹预防控制策略提供依据。方法对北京市丰台区2005～2007年麻疹疫情资料进行描述性流行病学分析。结果北京市丰台区2005～2007年共发生麻疹病例1600例,年平均发病率为33.85/10万,全区呈高度散发;0～7岁学龄前儿童和20～40岁的青壮年占总发病人数的37.82%和41.06%;发病高峰主要集中在3～6月份;在1600例麻疹病例中实验室确诊率低占45.68%。结论针对目前高发病人群进一步探讨麻疹的最佳初免年龄;提高麻疹的两剂次接种率和及时率;针对重点地区重点人群开展麻疹的强化免疫。

Objective To understand the epidemiological features of measles in Fengtai during 2005 - 2007 and to provide scientific evidence for policy making and modification for measles control and prevention. Methods Data of measles incidence in Fengtai District during 2005 - 2007 were used to describe and analyze it epidemiologically. Results A total Of 1 600 cases of measles were notified during the past three years in Fengtai, with an average morbidity of 33.85 per hundred thousand and highly sporadic distribution, dominantly at groups of 0 -7 years and 20-40 years of age, accounting for 37.82 percent and 41.06 percent of the total cases, respectively. The peak season of the disease was in March to June. Rate of diagnosis with laboratory test for measles was 45.68 percent in 1 600 cases. Conclusions Adequate age at first immunization with measles vaccine for the susceptible should be further discussed. Coverage of measles vaccine with two doses should be improved and immunized on time. Booster dose of measles vaccine should be immunized for the key areas and population.