台前县2005—2007年麻疹流行病学分析

Epidemiological Analysis of Measles in Taiqian County during 2005—2007

目的了解台前县2005—2007年麻疹发病情况,找出发病原因,以便指导今后的麻疹控制工作。方法对台前县2005—2007年报告的麻疹病例进行流行病学分析。结果台前县2005—2007年共报告麻疹病例112例,年报告平均发病率为10.28/10万,无死亡病例;病例以0～9岁儿童为主,占79.46%;麻疹病例中无免疫史者占8.93%,免疫1剂,占45.54%,免疫≥2剂,占14.29%,免疫史不详,占19.64%;男女性别比为1.87∶1;台前县2005—2007年共发生麻疹暴发疫情3起,暴发病例40例,占总病例的35.71%。结论台前县2005—2007年麻疹发病率高的主要原因与麻疹疫苗接种率低和麻疹疫苗免疫成功率低及麻疹疫苗复种不及时有关。

[ Objective ] To understand the incidence of measles in Taiqian County during 2005--2007, identify the causes, so as to guide future work of measles controls. [ Methods] Measles cases in Taiqian County were analyzed by epidemiology. [ Results] 112 cases were reported in Taiqian County during 2005--2007, the annual incidence was10. 28/100 000, with no death case. Most cases were children aged 0 - 9 years, accounted for 79.46% ; 8.93% cases had no vaccination; immunization for 1 medicinal preparation accounted for 45.54%, immunizations≥ 2 medicinal preparation accounted for 14.29%, 19.64% with unknown immunization history ; the sex ratio of male to female was 1.87 ： 1 ; there were 3 outbreaks in Taiqian County during 2005--2007, with 40 cases （ 35.71% of total cases}. [ Conclusion] The primary cause of high incidence of measles in Taiqian County during 2005--2007 relates with the low measles vaccine vaccination coverage, the low measles vaccine immunity success rate and the untimely measles vaccine multiple cropping.