城固县一起麻疹暴发疫情调查分析

Investigation and Analysis of Epidemic Situation of Measles Outbreakin Chenggu County

目的调查分析城固县2018年一起麻疹暴发疫情流行病学特征和处理措施,为进一步消除控制麻疹提供方法。方法对暴发疫情进行调查和分析。结果城固县暴发疫情累计发病15例,发病率2.8/10万。发病年龄6月~45岁。其中,25岁以上成人占病例80%,≤8月龄儿童2例占13.3%,12月龄儿童1例占6.7%。确诊病例中,73.3%患者在发病前7~21 d内有与医院接触史。结论疫情发现后,立即对病例进行隔离治疗,发热患者就地诊治,对密切接触易感人群进行应急接种,隔离医学观察等综合措施,防止了疫情扩散,效果较好。

Objective To investigate the outbreak of measles epidemiological characteristics and treatment measures in Chenggu County in 2018,in order to further provide a method for the elimination of measles control. Methods Investigating and analyzing the epidemic situation. Results A total of 15 cases of epidemic outbreaks occurred with an incidence rate of 2.8 per 100 000. The youngest patient was 6 months,and the oldest was 45 years old. Adults over 25 years old accounted for 80%. There was 2 ≤8-month-old children,accounting for 13.3%,and a 12-month-old child,accounting for 6.7%. In confirmed cases,73.3% of patients had been to the hospital in 7~21 days before the onset. Conclusion After the discovery of the epidemic,cases receive isolation treatment immediately. Fever patients were diagnosed and treated on the spot,and comprehensive measures are taken to those who have close contact with susceptible individuals,such as emergency vaccination and isolation of medical observations. As a result,the spread of the epidemic is controlled and good results are achieved.