承德市隆化县2006年麻疹疫情流行病学分析

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目的通过分析了解2006年隆化县麻疹流行特征,为辖区科学制定防制麻疹策略提供科学依据。方法对隆化县2006年麻疹病例及实验室资料进行描述性流行病学分析。结果 2006年隆化县共报告麻疹疑似病例166例,实验室诊断120例,临床诊断24例,排除22例,发病率为34.18/10万,无死亡病例。全县共有17乡镇有麻疹病例发生,发病年龄以小于9月龄的小年龄组和8岁以上的青少年及大年龄组为主,占病例总数的75.69%,除4个月份无病例发生外,其余各月均有病例发生,3~6月为发病高峰期,共发病129例,占病例总数的89.58%。结论通过分析发现我县的麻疹疫情主要集中在12月龄内的儿童组、8岁以上的青少年组及成人组,提示继续巩固常规免疫,加强麻疹复种,有计划的在适龄人群中开展麻疹疫苗的强化免疫,探讨不足8月龄儿童存在的免疫问题,加强对流动儿童的监管及入托、入园、入学接种证查验工作,规范化管理预防接种卡,预防接种证是我县控制麻疹疫情的关键。 Objective By analyzing and understanding the epidemic characteristics of measles in Longhua County in 2006, it provides a scientific basis for the district to formulate measles prevention strategies. Methods Descriptive epidemiological analysis of measles cases and laboratory data in 2006 in Longhua County was conducted. Results A total of 166 measles cases were reported in Longhua County in 2006. There were 120 cases diagnosed in laboratory, 24 cases were diagnosed clinically, 22 cases were excluded and the morbidity was 34.18 / 100 000 without any deaths. The county has a total of 17 towns and townships have measles cases, the age of onset to less than 9 months of age and over the age of 8 years of adolescents and older age groups, accounting for 75.69% of the total number of cases, with no exception except 4 months, The remaining cases occurred each month, 3 to 6 months for the peak incidence, a total of 129 cases, accounting for 89.58% of the total number of cases. Conclusion According to the analysis, we found that the measles epidemic in our county mainly focused on children aged 12 months, adolescents over 8 years old and adults, suggesting that we should continue to consolidate routine immunization and strengthen measles replantation and plan to carry out measles vaccine To investigate the immunization problems of children under 8 months of age, to strengthen the supervision of migrant children and the examination of vaccination certificates, admission and admission certificates, to standardize the management of vaccination cards and vaccination certificates, which are the key to control the epidemic of measles in our county .
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