云南临沧市麻疹流行病学特征及消除策略

Epidemiological Characteristics and Strategies of Measles in Lincang of Yunnan Province

目的分析云南临沧市2013—2015年麻疹流行病学以及消除的措施与策略,为有效消除麻疹提供参考依据。方法对云南临沧市2013—2015年麻疹发病情况及麻疹监测系统的指标进行流行病学分析,对目前实施的消除麻疹的策略和措施进行描述。结果临沧市2013年、2014年、2015年麻疹发病率分别为：2.357 5/10万、0.565 9/10万、2.6131/10万,麻疹发病的主要高峰期集中在3~6月,年龄分布主要集中在0~10岁儿童及20~40岁成年人,麻疹职业分布以散居儿童为最高,其次为农民。结论该市麻疹疫情呈反扑趋势,免疫规划工作落实不平衡,应积极加强疫苗补种,对免疫空白及接种无效等人群重点关注,同时预防医院感染及疫情输入。

Objective To analyze the measures and strategies of measles epidemiology in Lincang of Yunnan from 2013 to2015 and provide reference basis for effectively eliminating measles. Methods The measles incidence in Lincang of Yunnan from 2013 to 2015 and indexes in the measles surveillance system were given epidemiological analysis, and the strategies and measures of eliminating measles at present were described. Results The incidence rates of measles in Lincang in 2013,2014 and 2015 were respectively 23.575/100 thousand, 5.659/100 thousand and 26.131/100 thousand, the major peak period of measles concentrated on March to June, and the age concentrated on 0~10 and 20~40, and the scattered children was the highest in the measles occupational distribution, the farmer was the second. Conclusion The measles outbreaks take on a kickback trend in our city, the implementation of immune planning work is imbalance, and we should actively enhance vaccination, pay attention to population with blank immunization and ineffective inoculability and prevent hospital infection and outbreaks input.