宁夏2004-2008年麻疹监测分析

Analysis and strategy of control and the elimination of measles of NingXia

目的客观评价宁夏麻疹监测系统现状,探讨控制和消除麻疹的策略。方法对宁夏2004-2008年麻疹流行病学监测、实验室检测、采取控制措施和进展结果进行分析。结果我区麻疹发病率由2005年的38.2/10万降至2008年3.34/10万,地区呈现北高南低现象;年龄发病呈现8月龄婴儿和15岁以上人群上升趋势的"双向移位"现象;流动人口病例中无免疫史和不详者占比例较大为78.57%;麻疹疑似病例各项监测指标提高到95%以上;实验室检测50株麻疹野病毒基因型,全部为H1基因型。结论宁夏加速控制和消除麻疹,应继续加强对麻疹病例监测和流动人口麻疹疫苗免疫接种管理工作。

Objective To analyze the epidemiotogical surveillance, laboratory testing, control measures taken and progress results of measles of Ningxia from 2004 to 2008. Results The incidence of measles in 2005 from the 38.2/10 million to 2008 million 3. 34/10 in my area, North, South, a region of high low situation; Age incidence of 8 -month -old infant and a 15 -year- old population over the rising trend of ＂two - way shift＂ phenomenon. Flow of cases in non - immune population history and immunization history was unknown accounted for a larger proportion of 78.57% , the monitoriag indicators of suspected measles cases have improved more than 95% ,Laboratory tests 50 wild measles virus genotypes which all are H1 genotype,Conclusion In order to accelerate the control and elimination of measles , we should continue to strengthen the monitoring of measles cases and the management of measles vaccination in floating population.