2004-2010年上海市长宁区麻疹流行特征分析

Analysis on epidemiological features of measles in Changning Dis trict of Shanghai,2004-2010

目的了解2004-2010年上海市长宁区麻疹流行特征,为制定预防控制麻疹的策略提供依据。方法根据上海市长宁区麻疹疫情监测报告系统和麻疹病例个案调查表,对2004-2010年麻疹发病资料进行分析。结果 2004-2010年上海市长宁区共报告麻疹病例230例,年均发病率为4.38/10万,其中2005年发病率最高,为11.38/10万。全年均有发病,以4、5月份发病最多,占总病例数的45.65%;外来人口较多的新泾镇发病率最高。发病年龄最小4月龄,最大75岁,幼托及散居儿童和20岁及以上成年人为高发人群。结论建议加强对人口流动性大的街道(镇)免疫规划工作的管理,适时开展成人麻疹疫苗强化免疫,进一步加强麻疹监测控制工作,提高人群免疫水平。

Objective To understand the epidemic feature of m easles in Changning District of Shanghai so as to provide scientific evidence fo r measles control.Methods Descriptive epidemiological analysis was conducted on the epidemiology of measles from 2004 to 2010 based on the dat a collected from the regular report system of measles diseases and questionnaire s of measles cases.Results 230 cases were reported in Changn ing District of Shanghai from 2004 to 2010 and the average annual incidence was 4.38/100 000.The incidence was 11.38/100 000 in 2005,when the incidence was th e highest.There was obvious seasonality in the onset of measles.The total amou nt of measles onset cases from April to May was the most,which accounted 45.65%,the incidence in Xinjing Town was the highest.The youngest child catching thi s disease was 4 months old and the oldest was 75 years old.Scattered children a nd the adults over the age of 20 belonged to the group of high inciden ce.Conclusions The management of immunization planning of the urban of the mobility should be strengthened.The development of vaccination for the adults should be conducted in the right time.The measles monitoring and re porting should be improved.The immunity level of the population should be impro ved.