清远市2004—2008年成人麻疹流行病学特征分析

Epidemiological Features of Adult Measles in Qingyuan City during 2004—2008

目的了解清远市2004—2008年成人麻疹流行病学特征,探讨预防控制策略。方法收集2004—2008年麻疹监测资料,进行描述性分析。结果清远市2004—2008年共发生成人麻疹病例367人,年均发病率为2.27/10万;病例主要集中在5—7月份,占58.58%;各地区年均发病率在0.22/10万～7.87/10万之间变动;病例以35岁以下人群为主,占90.66%;各年龄段病例有免疫接种史者所占比例较低,最高为20.29%,在暴发病例中,仅有1人接种过麻疹疫苗。结论清远市成人麻疹发病总体呈上升趋势,对密切接触者实施应急接种、做好成人的后续强化免疫工作是控制成人麻疹的重要策略。

[ Objective] To understand the epidemiological features of adult measles in Qingyuan City during 2004--2008, and discuss the control strategy. [ Methods] The surveillance data of measles from 2004 to 2008 were collected and analyzed descriptively. [ Results] A total of 367 cases of measles were reported in Qingyuan City from 2004--2008, with the annual incidence of 2.27/100 000. Most cases （58. 58% ） appeared during May to July; the average incidence ranged from 0. 22/100 000 to 2.27/100 000 in different districts; the cases were mainly adults under 35 years and accounted for 90.66% ; only small percentage of cases had immunization history, the biggest percentage was 20. 29%; only 1 case had immunization history among all outbreak cases. [Conclusion]The adult measles cases shows an increasing tendency in Qingyuan city. To implement the emergency vaccination for the close contacts and the follow-up immunization campaign for the adults are the important strategies for controlling the adult measles.