重庆市2002年麻疹监测系统运行效果分析

Evaluation on Works of Measles Surveillance System in Chongqing in 2002

为了评价建立麻疹监测系统以来的运行效果 ,进一步做好控制麻疹工作 ,对各区 (县、市 )上报的麻疹监测资料进行了统计分析。结果显示 :麻疹监测系统的敏感性逐年提高 ,1999～ 2 0 0 1年麻疹监测系统报告的病例数比传染病报告系统分别少 33 85 %、2 1 2 8%、9 74 % ,但 2 0 0 2年多了 3 0 7%。 2 0 0 2年麻疹监测系统报告了 15 4 9例疑似麻疹 ,排除 5例 ,实验室确诊 96例 ,临床诊断 /有流行病学联系 14 4 8例。 15 4 4例麻疹中 ,0～ 7岁占 5 8 74 % ,其中≤ 8月龄占 2 72 % ,8～ 14岁占 32 84 %。 0～ 7岁有免疫史者占 6 4 0 6 % ,无免疫史者占 17 4 2 % ,免疫史不详占18 5 2 %。应进一步提高接种效果和麻疹监测工作质量 ,以实现加速控制麻疹的目标。

In order to evaluate the sensitivity of measles surveillance system(MSS),the data from the national notifiable disease reporting system(NNDRS)and MSS in Chongqing were analyzed.The results showed that the sensitivity of MSS had been increasing year by year,the reported measles cases by MSS was lower than that by NNDRS,reducing by 33.85%,21.28%,9.74% in 1999,2000,2001 respectively but increasing by 3.07% in 2002.1549 suspected measles cases were reported in 2002,among them 5 cases were discarded,96 were confirmed by laboratory and 1448 cases were clinically diagnosed as measles.Most cases concentrated in children of 0～14 years old,58.74% of 1554 measles cases were children of 0～7 years old,of them 2.72% were children <8 months old, 32.84% were children of 8～14 years old.The quality of immunization was not good,in age group of 0-7 years old, 64.06% had immunization history,17.42% had no record and 18.52% were unclear.So,more efforts on measles vaccination and surveillance should be made to speed up the control of measles.