温州地区2007～2009年麻疹血清学监测分析

Analysis of serological monitoring of measles cases in Wenzhou City in 2007～2009

目的了解温州市麻疹的流行病学特点及患病情况,评价麻疹监测系统现状,为制定麻疹防控策略提供依据。方法应用统计学方法对温州市2007～2009年麻疹网络实验室检测的血清学标本结果进行分析,从病例发生的人群、时间、地域和性别等方面全面分析温州地区麻疹的病例情况。结果实验室共接收标本1883例,麻疹IgM抗体阳性为1052例,阳性率为55.9%,疑似病例44例。男女发病的阳性率没有差别,但是发病人数构成比男性高于女性。从地区分布来看,麻疹主要分布鹿城、龙湾和瓯海等人群密集且流动性大的地区,1～7岁组及≥15岁占总病例数71.90%。结论温州市麻疹疫情防控形势非常严峻,人口流动和免疫空白人群的积累是麻疹流行的主要原因,其次院内感染也是一个不容忽视的因素。应制定相应的防控措施,加强宣传和提高人群的免疫接种率等方法控制麻疹。

Aim To understand the prevalent status of measles in Wenzhou City. Methods The serological specimens in 2007-2009 were tested and analyzed. Results Threre 1 883 samples were received and 1 052 positives were detected with a positive rate of 55.9%. There were also 44 suspects. The constituent ratio of numbers in males was higher than that of the females. Most of the measles cases were distributed in areas with large floating populaiton. The infection rate in 7-year-old group and t≥ 15-year-old group was 71.90%. Conclusion Comprehensive measures be taken to control the prevalence of measles in this areas.