菏泽市2009年麻疹监测结果分析

Analysis on measles monitoring results in Heze city in 2009

目的评价菏泽市2009年麻疹监测系统现状,了解麻疹流行病学特征。方法 对2009年麻疹监测与控制资料进行描述分析。结果 2009年报告麻疹疑似病例280例。麻疹疑似病例发病后7d内报告率为64.29%,报告后48h内调查率为86.07%,疑似病例血清标本采集率为20.00%。麻疹确诊病例256例。麻疹发病呈散发,部分高发县影响全市麻疹发病水平。256例麻疹确诊病例中,1～5月份发病的占约占全年病例总数的91.80%;3岁以下病例占占45.70%,无麻疹疫苗免疫史者179例,占69.92%。结论 菏泽市部分地区麻疹疫苗接种率不高,是导致麻疹疫情上升的主要原因。

Objective The study was conducted to evaluate the situation on measles monitoring system and to find out epidemiological characteristics of measles in Heze City in 2009. Methods Descriptive epidemiological analysis was conducted on the epidemiology of measles based on the data collected from the special system report of measles. Results 280 suspected measles cases were reported in 2009 from the special system report, The report rate of the suspeeted cases was 64.29% after the measles occurred within 7days while the investigating rate 86.07 % within 48 hours after the cases were reported and the completeness rate of investigating was 100%. 256 cases were confirmed, sporadic measles was found with the incidence rate of the epidemic of the whole city influenced by the high incidence in individual counties. 91.80% of the 256 confirmed cases occurred from January to May. The confirmed cases under 3 years old accounted for 45.70%. 69.92% of the 256 confirmed cases had no history of the measles immunization. Conclusion The data in the paper suggests that the routine immunization rates of measles are not high in some counties, which is the imoportant reason why the measles occurred.