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目的分析浙江省金华市2004-2008年麻疹疫情流行特征。方法对金华市2004-2008年麻疹疫情进行描述流行病学分析。结果5年间金华市共报告麻疹病例5471例,年均发病率为19.47/10万。发病以高度散发为主,偶有暴发,并有明显的季节性,发病高峰在3-5月;经济较发达、流动人口较多地区发病率高,病例以散居儿童和农民居多,≥15岁组和8月龄至7岁组为麻疹高发年龄段,本地病例以(8月龄和≥15岁的人群为主,而流动人口病例以学龄前儿童为主,流动人口、(8月龄和≥15岁人群比例呈上升态势。病例中无免疫史者和免疫史不详者占86.00%。结论金华市麻疹发病近年有上升趋势,控制麻疹的重点是确保麻疹疫苗的高接种率、高免疫成功率,消除免疫空白,把流动人口、(8月龄和≥15岁人群作为防控重点。
Objective To analyze the epidemic characteristics of measles in 2004-2008 in Jinhua City, Zhejiang Province. Methods Epidemiological analysis of measles epidemics in Jinhua City from 2004 to 2008 was conducted. Results A total of 5,471 measles cases were reported in Jinhua City in 5 years, with an average annual incidence rate of 19.47 / 100,000. The incidence was highly exuded, with occasional outbreaks and obvious seasonal peak incidence in March-May; more developed economy, high incidence of migratory areas with high prevalence of scattered cases of children and peasants, ≥ 15 years old Group and the age group of 8 months to 7 years old were the high incidence of measles. The local cases were mainly (8 months old and ≥15 years old), while the floating population was mainly preschool children, floating population, (8 months old and The proportion of people aged ≥15 years showed an upward trend, with no history of immunization and unknown history of immunization, accounting for 86.00% .Conclusion The incidence of measles in Jinhua City has been on the rise in recent years. The focus of measles control is to ensure a high vaccination rate and successful immunization Rate, eliminate the immune blank, the floating population, (8 months of age and ≥ 15 years old population as the focus of prevention and control.