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机构地区:[1]米易县疾病预防控制中心,四川米易617200
出 处:《预防医学论坛》2009年第10期1024-1025,1031,共3页Preventive Medicine Tribune
摘 要:[目的]了解米易县麻疹流行特征,为制定消除麻疹策略提供依据。[方法]对米易县2001~2008年麻疹发病资料进行分析。[结果]2001-2008年共报告麻疹104例,年均发病率为6.35/10万。2001年发病最高达22.72/10万。2006年发病最低为1.42/10万,不同年份间发病率的差异有统计学意义(P〈0.05)。县城区发病率为29.85/10万;农村发病率为52.46/10万,二者差异有统计学意义(P〈0.05)。发病年龄为4个月至48岁。其中,1~14岁66例,〉20岁27例。25例(24.04%)有麻疹疫苗免疫史,61例(58.65%)无免疫史,18例(17.31%)免疫史不详。病例主要集中在每年2~4月,共68例.占65.38%。学生的发病数最多,共51例,占49.04%。[结论]米易县麻疹流行情况存在每隔4~6年出现一次流行高峰的特点,其间出现有2次发病高峰,峰值呈总体下降趋势。控制麻疹流行必须提高麻疹疫苗接种率、开展适龄人群麻疹疫苗强化免疫,加强流动人口管理是消除麻疹的重要措施。[Objective]To understand epidemiological characteristic of measles in Miyi, provide scientific basic for making strategies of measles elimination. [Methods]Data of measles prevalence from 2001 to 2008 in Miyi were analyzed. [Resuits]104 cases were reported from 2001 to 2008. The yearly average morbidity was 6.35/100 000. The lowest incidence was reported in 2006 while the highest was reported in 2001. There was a difference of the incidence in different years( P 〈0.05). Themorbidityreportedinurbandistrictwas29.85/100 000whileinruralareaswas52.46/100 000(P〈0.05). The cases were at the age from 4 months to 48 years old. 25 cases had immune history and 61 cases had no immune history. Unknown history was in 18cases. 68 cases were reported from February to May,accounting for 65.38%. 49.04% (51) cases were from Students, and students were the highest occupation. [Conclusion]The morbidity of measles in Miyi county had a cycle from 4 to 6 years, and the peak value came down. The improvement of timely immunization coverage rate, strengthened immunity for children,strengthening the management for floating population were the key of measles elimination.
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