郑州市2002年麻疹流行病学分析

Epidemic analysis of measles in Zhengzhou,2002

目的为了解我市麻疹的流行病学特点和疫情动态,为进一步加速麻疹控制工作提供科学依据。结果发病以散发和暴发并存,散发为主。发病率6.69/10万,流动人口发病占42.86%,本地人口发病率为3.82/10万,流动人口发病直接影响着我市麻疹的发病水平;0—8岁儿童占总病例的90.29%,0-1岁儿童为发病高峰占55.34%,其中〈8月龄、8月龄-1岁分别占的21.04%和34.30%;8月龄-6岁儿童有效接种率为72%—84%。结论加强流动人口计划免疫管理,提高流动儿童MV接种率;将MV初免月龄提前至6月龄或给育龄妇女注射一剂次MV疫苗;提高初免及时率;加强冷链管理与人员培训,确保接种质量等是我市控制麻疹发病的关键所在。

Objective In order to know the epidemic characteristic and trend of measles in Zhengzhou,and provide theoretic support for measles control.Result The epidemic form was the outbreak and dispersed which was the main form.The incidence of measles was outbreak and dispersed which was the main form.The incidence of measles was6.69/100,000,including42.86%floating children.The incidence of residence children was3.82/100,000.The percentage of0-8years case was90.29%,which the high point was0-2years(55.34%).The percentage of case below8months,case between8months and1year was21.04%and34.30%.The effective vaccine rate of case between8month and6years was range from72%to84%.Conclusion The key factors of measles control were that improve the management of EPI of floating children;increase the inoculation rate of floating children;adjust the primary MV time to6months of vaccine the pregnant womanl ;increase the timely rate of inoculation;strength the management of cold chain;carry out training to the staff and insure the inoculation quality.