五华县2009～2012年麻疹和风疹病例监测结果分析

Laboratory monitoring of measles and rubella cases in \Wuhua County in 2009-2012

目的分析五华县2009～2012年发热出疹病例实验室监测结果,了解五华县麻疹和风疹发病情况。方法使用酶联免疫吸附捕获法（ELISA）检测发热出疹病例的血清标本中麻疹、风疹IgM抗体,结合流行病学资料进行统计分析。结果2009~2012年共检测发热出疹病例血清标本27例,麻疹IgM抗体阳性1例,阳性率为3.70%,风疹IgM抗体阳性10例,阳性率为37.04%,发热出疹病例发病高峰在每年3～6月份,仅2011年有1例麻疹实验室确诊病例,发病率为0～0.08/10万。结论五华县2009~2012年发热出疹病例以风疹为主,麻疹发病率达到1/100万以下的消除麻疹目标,但仍需加强对发热出疹病例进行监测,为消除麻疹、预防控制风疹提供及时、准确的实验室数据。

Objective To analyze the results of laboratory monitoring of measles and rubella cases in Wuhua county in 2009 to 2012.Methods Measles and rubella IgM-antibodies from Serum specimen of patients with rash and fever were test ed by ELISA,The results were analyzed in combination with epidemiological data.Results Totally 27 patients with rash and fever were detected from 2009 to 2012,including a case positive for measles IgM anbody with a positive rate of 3.70% and 10 cases were positive for rubella IgM antibody with a positive rate of 37.04%.The peak incidence of patients with rash and fever focused in the months of from March to June,only one measles case was confirmed in laboratory in 2011 with the incidence rate of below 0.8 per million.population.Conclusion Most of the patients with rash and fever in Wuhua county from 2009 to 2012 were mainly rubella cases.Measles incidence has reached the elimination goal of below 1 per million population.But the sur veillance of patients with rash and fever be strengthened in order to provide prompt and accurate laboratory data for measles elimination and control of rubella.