论文部分内容阅读
目的分析2000-2008年广西宾阳县麻疹暴发疫情的流行病学特征。方法利用宾阳县2000年以来的传染病疫情统计资料、麻疹监测系统资料、麻疹暴发疫情处理资料,对麻疹暴发疫情特征进行描述流行病学分析。结果宾阳县2000-2008年共发生5起麻疹暴发,合计发病57例,占9年来全县麻疹发病总例数(267例)的21.35%;5起暴发涉及5个镇的3个自然村和2个私营工厂,平均罹患率36.82‰,无死亡病例。麻疹暴发有明显的季节性,主要集中在4-7月;暴发病例以1～14岁病例为主占92.98%;92.98%的暴发病例无麻疹疫苗免疫史。本县人口暴发2起,发病36例,占暴发总数63.16%,外来人口暴发2起,发病16例,占暴发总数的28.07%,混合型暴发1起,发病5例,占暴发总数的8.77%。结论免疫规划薄弱村屯儿童、流动人口儿童常规免疫接种率低,疫情报告不及时是麻疹暴发的主要原因,应加强对这两个环节儿童的常规免疫和麻疹主动监测工作。
Objective To analyze the epidemiological characteristics of measles outbreak in Binyang County of Guangxi from 2000 to 2008. Methods The epidemiological data of measles outbreaks were analyzed based on epidemiological data of infectious diseases, measles surveillance system information and measles outbreaks in Binyang County since 2000. Results Five outbreaks of measles occurred in Binyang County from 2000 to 2008, accounting for a total of 57 cases, accounting for 21.35% of the total number of measles cases (267 cases) in the past 9 years. Five outbreaks involved 3 villages in 5 towns and 2 private factories, the average attack rate of 36.82 ‰, no deaths. Measles outbreaks have obvious seasonal, mainly concentrated in April-July; outbreak cases in 1 to 14-year-old cases accounted for 92.98%; 92.98% of outbreaks without measles vaccine immunization history. The outbreak of the county 2, the incidence of 36 cases, accounting for 63.16% of the total outbreak, outbreak of 2 outbreaks, the incidence of 16 cases, accounting for 28.07% of the total outbreak, a mixed outbreak in 1, 5 cases, accounting for 8.77% of the total outbreak, . Conclusions The immunization program is weak. The regular immunization rate of children in village and floating population is low, and the outbreak report is not timely, which is the main reason of the outbreak of measles. Regular immunization and measles monitoring should be strengthened in these two aspects.