2014年沈阳市麻疹流行特征分析

Analysis on epidemiological characteristics of measles in Shenyang City in 2014

目的分析沈阳市2014年麻疹流行特征,为调整麻疹防控措施提供依据。方法利用《疾病监测信息报告管理系统》病例信息进行分析。结果报告发病数为2 058例,发病率为25.02/10万。1-10月发病,3-4月为发病高峰,占总病例的58.41%。4个农村地区中有2个发病率和发病数都位列前3位。平均发病年龄26岁;0～2岁依次排名发病率前3位,发病率分别为1 145.77/10万、263.85/10万和80.37/10万;0岁组占发病构成首位（23.66%）,20岁及以上成人占58.50%。其中0岁组中6～10月龄占73.92%;流行早期从以婴幼儿为主逐渐过渡为中后期以成年人为主。结论该市麻疹流行特征发生了转变,应适时调整防控措施。

[Objective]To analyze the epidemiological characteristics of measles in Shenyang City in 2014,provide the basis for adjustment of measles prevention and control measures. [Methods]The case data from the Disease surveillance information reporting management system were analyzed. [Results]A total of 2 058 measles cases were reported,with the incidence rate of25.02/lakh. The cases occurred January to October,while the peak season appeared March to April,accounting for 58.41% of the total cases. 2 of 4 rural areas ranked in the top 3 places for incidence rate and case number. The average age of onset was 26 years old,the top 3 age groups of the highest incidence rate was 0-1,1-2 and 2-3 year-old age groups,which the incidence rate was 1145.77/lakh,263.85/lakh and 80.37/lakh,respectively. The cases in 0-1 year-old age group accounted for the greatest proportion of total cases,which was 23.66%,and cases over 20 years old accounted for 58.50%. In 0-1 year-old age group,children aged 6-10 months old accounted for 73.92%. The disease population gradually changed from young children in the early stage to adults in the later stage of the epidemic. [Conclusion]The epidemiological characteristics of measles in Shenyang City have changed,and the preventive measures should be adjusted duly.