济南市2009年麻疹流行病学分析  

Analysis on Measles Epidemic Characteristic and Control Efficacy in Jinan in 2009

作　　者：韩京[1] 张学化[1] 赵小东[1] 张先慧[1] 张济[1] 马衍辉[1] 

机构地区：[1]济南市疾病预防控制中心,济南250001

出　　处：《中国循证医学杂志》2011年第3期254-256,共3页Chinese Journal of Evidence-based Medicine

摘　　要：目的了解济南市2009年麻疹流行特征,为制定消除麻疹策略提供科学依据。方法通过国家麻疹专病报告系统收集麻疹病例资料,应用描述流行病学方法分析麻疹流行特征及控制策略的实施效果。结果济南市2009年麻疹发病309例,发病率为5.1/10万,麻疹发病率较2008年下降了71.26%。发病高峰在1～4月。患者以<8月龄婴儿和≥15岁以上人群为主,分别占33.98%(105/309)和49.51%(153/309)。患者中无麻疹疫苗(MV)免疫史或免疫史不详者占93.2%(288/309),流动人口麻疹发病率为9.71%(30/309)。结论实施计划免疫对控制麻疹疫情效果显著。为达到消除麻疹的目标,除需要扎实开展儿童免疫规划基础工作外,还需适时在重点地区和重点人群中开展麻疹强化免疫。Objective To analyze the measles epidemic characteristic,so as to provide scientific evidence for the strategy of controlling and eliminating measles.Methods The data of measles cases was collected from the national epidemiological investigation and surveillance report system,and the measles epidemiological characteristic as well as the efficacy of measles control strategy were analyzed through descriptive studies.Results The total number of the reported measles cases reached 309 in 2009,the incidence rate was 5.1 per 100 000 population and declined by 71.26% compared with the year of 2008.Seasonal peak in 2009 appeared from January to April.The infants less than eight months old as well as the patients more than 15 years old were the main suffering population,which accounted for 33.98%（105/309） and 49.51%（153/309） of the total,respectively.The patients having no or having unclear measles vaccination history accounted for 93.2%（288/309）.The cases of floating population accounted for 9.71%（30/309）.Conclusion It has been demonstrated that vaccine immunization activities are important measures to eliminate measles.To achieve the goal of measles elimination,not only does the children routine immunization have to be performed,but also the strengthened immunization has to be carried out for the key crowd in key areas.

关 键 词：麻疹 流行病学调查 预防接种 

分 类 号：R511.1[医药卫生—内科学]