贵州省一起高校麻疹爆发疫情的调查及处理

Investigation and Handling of the Outbreak of Adult Measles Case in Guizhou Province

目的分析贵州省一起高校学生麻疹爆发疫情的调查及处理情况。方法访谈病例发病前后情况,查阅临床病历,对病例及其密切接触者进行医学观察。采集病例血标本应用酶联免疫吸附试验进行检测。结果 2009年6月9～24日在安顺学院发生学生麻疹爆发疫情。本次疫情共发现5例麻疹病例,均为男性,其中20岁3例,21岁2例;5例病例麻疹减毒活疫苗接种史均不详;5例血标本麻疹IgM抗体阳性4例。结论采取了包括隔离治疗、主动搜索、环境消毒、健康教育等多项措施,阻断了疫情的蔓延。此起高校学生麻疹爆发疫情的发生,提示应在高校加强麻疹病例的监测以及健康教育等工作。

Objective To analysis the investigation and Conduction of the outbreak of adult measles case in Guizhou Province. Methods Information on epidemiology and clinical manifestation of the case was collected from interview the keyperson and referring to related medical records. Medical observation was undergone among the close contacts of the cases. Serum of the measles cases during acute phases were collected and tested by enzyme-linked immunosorbent assay（ELISA）to detect special antibody. Result There were 5 adult measles cases in Anshun collage during 9 Jun.-24 Jun. in 2009 in Guizhou Province. All measles cases were male. Three cases were 20 years old;two cases were 21 years old. The measles antibody IgM of 4 measles cases is positive. After that,no measles case was found in this college again. 5 cases of measles vaccination history are not available, the first measles case had a travelling history. Conclusion The isolation cure of measles cases, the immunization coverage investigation, actively searched for measles cases, take disinfect of the environment and health education were conducted in Anshun college to control measles outbreak, no additional measles case was found. The outbreak of adult measles in Anshun college indicated that measles case surveillance and health education should be strengthened in college.