蚌埠市2009年麻疹发病升高原因分析

Increased The Incidence Of Measles Analysis In Bengbu City In 2009

目的了解蚌埠市2009年麻疹发病升高的原因,为进一步完善麻疹防控措施提供科学依据,加速消除麻疹工作进程。方法采用描述流行病学方法对麻疹监测数据进行统计分析。结果 2009年是蚌埠市继2005年发生麻疹流行以后的第二个高峰年。2009年麻疹发病率21.43/10万,城市发病高于农村、发病以0～8月龄和7～14岁学龄儿童为主和35岁以上成人发病构成增加,4～7月和12月为发病高峰月。2009年麻疹病例免疫史0剂次、1剂次、≥2剂次、不详分别占64.33%、5.65%、2.36%、27.66%;麻疹病例有接触史、周围有麻疹病例史、外出史、不详,分别占33.40%、28.30%、2.65%、35.65%。结论未免疫、未及时免疫、未全程免疫形成易感人群逐渐积累和增多,是2009年蚌埠市麻疹发病升高的主要原因。加强常规免疫接种,及时控制大年龄人群发病和适时开展麻疹疫苗查漏补种、强化免疫是控制麻疹发病和消除麻疹的关键措施。

Objective Understanding of Bengbu City in 2009 because of elevated incidence of measles,measles prevention and control measures to further improve the scientific basis,to accelerate the process of working to eliminate measles.Methods Descriptive epidemiology of measles surveillance data method for statistical analysis.Results Bengbu City in 2009,following a measles epidemic occurred in 2005,the second after the peak year,in line with Bengbu city measles epidemic stage during the 1998-2009 decline and low-intensity intermittent popular rule.2009,measles incidence 21.43/10 million,the incidence of urban than rural,the incidence of 0-8 months and 7-14 years of age-based and school-age children over the age of 35 increase in adult-onset form 4-July and December for the onset of peak months.2009,measles immunization history 0 times,one time,≥ 2 doses,unknown accounted for 64.33%,5.65%,2.36%,27.66%;measles cases had history of exposure to patients around the history,go out history,unknown,respectively.accounted for 33.40%,28.30%,2.65%,35.65%.35.65%.Conclusion Not immune,immunity is not timely,full immunization form is not the gradual accumulation of susceptible population and increased,Bengbu City in 2009,cause of the rising incidence of measles.Cities than in rural areas the incidence intensity,and the impact of migrants,migrant children missing species and density of urban population,exchange mobility related activities.Strengthening routine immunization,two more times to ensure high immunization coverage of measles vaccination,measles surveillance in a timely manner to enhance the control and the timely onset of major age groups leak replant measles vaccine,measles immunization and the control of the key measures to eliminate measles.