清远市2007—2009年麻疹流行特征分析

Analysis on Epidemiological Characteristics of Measles in Qingyuan during 2007-2009

目的了解清远市2007—2009年麻疹流行病学特征,为制定相应的防治对策、控制和消除麻疹提供科学依据。方法采用描述性流行病学分析清远市2007—2009年麻疹监测系统报告数据。结果 2007—2009年清远市监测报告麻疹疑似病例1094例,分别为334、666和94例,报告发病率分别为8.59/10万、16.89/10万、2.33/10万。流行季节主要在4—7月份,共756例,占总发病数的69.10%。发病年龄主要集中在0～18岁年龄组,共912例,占总发病数的83.36%;对1094例麻疹疑似病例的免疫史分析,有麻疹减毒活疫苗(MV)免疫史占11.52%,免疫史不详和无免疫史占88.48%。结论应进一步加强麻疹疫苗基础免疫和强化免疫,提高麻疹疫苗的接种及时性和接种质量,加强麻疹监测,防止麻疹暴发疫情发生,同时做好成人麻疹的预防控制工作。

[Objective]To understand the epidemiological characteristics of measles in Qingyuan during 2007-2009,provide the reference for making relevant countermeasures of measles control and elimination.[Methods]The report data from measles monitoring system in Qingyuan during 2007-2009 were analyzed with descriptive epidemiology. [Results]During 2007-2009,among 1094 suspected measles cases reported in Qingyuan,there were 334,666 and 94 cases in 2007,2008 and 2009 respectively,and the annual reported incidence rate was 8. 59 /lakh,16. 89 / lakh and 2. 33 / lakh respectively. 756 cases occurred during peak season which was from April to July,accounted for 69. 10% of total cases. 83. 36% （ 912） of total cases was children and youth aged 0 ～ 18 years. Among 1094 suspected measles cases,11. 52% of them had MV immunization history,and 88. 48% of them had dubious immunization history or no vaccination records.[Conclusion]The routine immunization and supplementary immunization of MV should be improved further,timeliness and quality of MV should be enhanced,measles surveillance should be strengthened to prevent measles outbreaks. Meanwhile,the measles control and prevention among adults should be improved.