安徽省1998～1999年麻疹疫情及流行因素分析

Analyses on the risk factors of Measles in Anhui province during 1998 and 1999

目的 评价控制麻疹策略和措施效果。方法 运用急性迟缓性麻痹 (AFP)监测系统网络进行麻疹流行病学监测。结果 通过对 1～ 6岁儿童麻疹强化免疫 ,1999年全省麻疹发病率为1.36 / 10万 ,5岁以下年龄别发病率为 3.6 5 / 10万 ,分别较强化免疫前 (1991～ 1997年 )下降了 84.0 0 %和 87.49%。各项监测指标较 1998年有所提高。结论 不断加强县、乡、村三级卫生人员的培训对于提高监测系统的敏感性、及时性是至关重要的 ;加强常规免疫 ,提高接种率 ,辅以强化免疫 ,是控制局部暴发疫情。

Objective To evaluate the measures targeting measles control. Methods Measles cases were studied serologically under AFP surveillance system. Results The incidence was 1.36 / 100 000 in 1999. The incidence of children under 5 was 3.65 / 100 000 , with 84.00 % and 87.49 % reduction, as compared with the incidence in 1991 and 1997 before intensified vaccination campaigns in children aged 1 6. The indicators of surveillance showed an improvement in 1999 than that in 1998. Conclusion Training for health staff at county, township, vallage levels played an important role in improving the sensibility and timeliness of measles surveillance system. Routine immunization is a key element in curbing measles outbreaks and reducing measles incidence.