摘要
目的:分析常州市麻疹流行病学特征,评价现行麻疹控制策略效果。方法:对常州市2003~2004年报告的麻疹病例进行描述流行病学的分析,包括流行病学个案调查和实验室检测结果的分析。结果:2003~2004年常州市的麻疹年均发病率为1.69/10万,以高度散发为主。发病集中在1~5月,占全年发病数的90.60%。0~8月龄和成人(≥18岁)为高发年龄段,分别占总发病数的22.22%和39.32%;流动人口发病占总发病数的49.57%。结论:应考虑在拟结婚前的人群中,开展MV(麻疹疫苗)或MMR(麻疹-腮腺炎-风疹三联疫苗)的预防接种,缓解麻疹发病年龄向两极分化的趋势,应进一步加强流动人口免疫接种的管理。
Objective:To analyze the epidemiological characteristics of Measles in Changzhou city and to evaluate the effect of the current strategies on Measles control.Method: The reported measles cases were analyzed with epidemiological description during 2003~2004,including case investigation and laboratorial results analysis.Result: The average incidence was 1.69 cases per 100,000 people during 2003~2004.The reported Measles cases distributed in all 7 districts in which featured by the pattern of highly sporadic.Seasonal distribution of Measles was very noticeable and 90.60% of all the cases occurred between January to May.The age groups with high incidence were 0~8 months old and adults(≥18 years old),which counted for 22.22% and 39.32% respectively in all Measles cases.The cases in floating population covered 49.57% in all cases.Conclusions: Launching the vaccination campaign toward the population before marriage with MV or MMR should be considered,which would instigate the fact of polarized trends of Measles incidence in age range.On the other hand,it should be further strengthened the management for floating population.
关键词
麻疹
流行病学
发病率
流动人口
Measles
epidemiological characteristics
incidence
floating population