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目的通过对北京市海淀区麻疹发病情况进行分析,掌握全区麻疹流行病学特征和发病规律,为制定和调整麻疹的防制措施提供科学依据。方法对北京市海淀区2000~2004年的麻疹病例进行描述流行病学分析。结果北京市海淀区2000~2004年麻疹发病481例,年均发病率4.30/10万。流动人口发病率高于本市人口,城市地区和城乡结合部发病高于农村地区。2~5月是麻疹高发季节,发病数占前3位的职业是农民工、散居儿童和工人。发病年龄呈双峰型,<1岁和20~34岁麻疹病例占总病例数的58.21%。男女发病比为1.93∶1。结论北京市海淀区应以控制流动人口麻疹发病为重点,同时建议调整麻疹疫苗免疫程序,对育龄期妇女和外来务工人员需进行麻疹疫苗接种。
Objective To analyze the epidemic situation of measles in Haidian District of Beijing and grasp the epidemiological characteristics and pathogenesis of measles in the whole district so as to provide a scientific basis for the formulation and adjustment of measles prevention measures. Methods Epidemiological analysis of measles cases from 2000 to 2004 in Haidian District, Beijing was conducted. Results The incidence of measles in Haidian District in Beijing from 2000 to 2004 was 481 cases, with an average annual incidence of 4.30 / 100,000. The incidence of floating population is higher than that of the city population. The incidence of urban areas and urban-rural areas is higher than that in rural areas. May to May is the high incidence of measles, the incidence of the top three occupations are migrant workers, scattered children and workers. The age of onset was bimodal, measles cases <1 year old and 20 ~ 34 years old accounted for 58.21% of the total number of cases. Male to female incidence ratio of 1.93: 1. Conclusion Haidian District, Beijing should focus on controlling the incidence of measles in floating population. At the same time, it is suggested to adjust the immunization schedule of measles vaccine and to vaccinate women of childbearing age and migrant workers for measles.