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目的分析2008年新疆阿勒泰地区麻疹流行病学特征,为政府加速控制麻疹提供科学依据。方法对麻疹疫情报告资料进行描述流行病学分析。结果 2008年阿勒泰地区麻疹发病大幅上升,报告发病率为198.79/10万,明显高于1998～2007年的发病水平。发病以≥15岁成人为主,占发病总数的62.23%,多为无明确麻疹减毒活疫苗免疫史和免疫史不详者。8月龄～1岁病例中无免疫史者占52.94%,发病集中在2～5月,农牧区发病人数占72.81%。结论麻疹母传抗体下降、麻疹疫苗接种不及时、传染病报告不及时和传染源管理不严等是造成本次麻疹流行的主要原因。
Objective To analyze the epidemiological characteristics of measles in Altay region of Xinjiang in 2008 and provide a scientific basis for the government to speed up the control of measles. Methods Epidemiological analysis of measles outbreak report data was performed. Results The incidence of measles in Altay region increased sharply in 2008 with a reported incidence of 198.79 / lakh, which was significantly higher than the incidence of measles in 1998 ~ 2007. Incidence of adults ≥ 15 years of age, accounting for 62.23% of the total number of cases, mostly no clear measles live attenuated vaccine immunization history and unknown history of immunization. There was no history of immunization in 8 months to 1 year old patients accounted for 52.94%, the incidence concentrated in 2 to May, the number of incidence in farming and pastoral areas accounted for 72.81%. Conclusion The decline of measles mother antibody, measles vaccine inoculation is not timely, infectious disease report is not timely and lax source of infection is the main cause of the epidemic of this measles.