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目的分析山东省聊城市1999~2004年麻疹疫情现状,为制订加速控制和消除麻疹策略提供依据。方法利用麻疹监测系统资料进行麻疹流行病学特征及其影响因素的分析。结果聊城市1999~2004年共报告麻疹314例,年平均发病率0.94/10万。麻疹发病在不同县(市、区)存在差异,发病高峰在4~7月,以≤15岁人群为主;散发和局部爆发并存,爆发病例数占总发病数的26.11%,以小学生和大学生为主。麻疹发病主要与麻疹疫苗(MV)常规免疫接种率低和麻疹监测系统监测质量不高有关。结论重点加强薄弱地区MV常规免疫工作,适时开展MV强化免疫,提高免疫覆盖率,消除免疫空白,健全麻疹监测系统,提高监测质量,加速控制和消除麻疹。
Objective To analyze the status quo of measles in 1999-2004 in Liaocheng City, Shandong Province, and to provide the basis for formulating the strategy of accelerating control and eliminating measles. Methods The epidemiological characteristics of measles and its influencing factors were analyzed using the data of measles monitoring system. Results A total of 314 cases of measles were reported in Liaocheng from 1999 to 2004, with an average annual incidence of 0.94 / 100 000. The incidence of measles in different counties (cities, districts) there are differences, the peak incidence in April to July, ≤ 15-year-old population; sporadic and local outbreaks coexist, the number of cases of outbreak accounted for 26.11% of the total number of cases, primary and secondary students Mainly. The incidence of measles is mainly related to the low routine immunization coverage of measles vaccine (MV) and the poor quality of measles surveillance system. Conclusions The focus of the work is to strengthen the routine immunization work in vulnerable areas and carry out MV intensive immunization in time to improve immunization coverage, eliminate immunological gaps, improve the monitoring system of measles, improve the quality of monitoring, and accelerate the control and elimination of measles.