安定区1986—2009年麻疹发病趋势及免疫策略分析

Incidence of Measles Trend and Immunization Strategy in Anding District from 1986 to 2009

目的了解我区麻疹疫情的流行病学特征及其免疫策略对麻疹发病的影响,强化控制措施,以达到如期消除麻疹的目标。方法应用描述性流行病学方法对麻疹流行强度、三间分布及免疫策略对其的影响进行分析。结果 1986—2009年24年累计麻疹发病845例,年平均发病率为7.95/10万,总发病率呈大幅度下降趋势。结论目前消除麻疹工作的重点是:继续保持麻疹疫苗常规免疫高接种率水平;注重两针麻疹疫苗接种及时率和全程接种率的问题;麻疹疫苗强化免疫是消除麻疹的又一重要策略,必须保证接种率指标的落实;考虑育龄妇女及成人的麻疹疫苗免疫问题。

OBJECTIVE To know my area and its epidemiological characteristics of measles immunization strategies on the incidence of measles,the enhanced control measures to achieve the planned target to eliminate measles.METHODS Descriptive epidemiology of measles epidemic on the strength of three of its distribution and impact of immunization strategy.RESULTS 1986—2009 24 years cumulative incidence of 845 cases of measles,the annual average incidence rate was 7.95/10 million,the total incidence rate was significantly decreased.CONCLUSION The current focus of the work to eliminate measles：maintaining high routine immunization of measles vaccine inoculation rate;focus on the two-pin measles vaccination rate and the full rate of timely issues;measles vaccine immunization is another important strategy to eliminate measles,vaccination must be guaranteed rate of implementation indicators;consider women of childbearing age and adult problems of measles vaccine.Further improve measles surveillance,provide the basis for the elimination of measles.