芜湖市2009～2011年麻疹监测与流行特征分析  

Analysis and evaluation of the measles surveillance and to epidemic characteristics in Wuhu city during 2009-2011

作　　者：於秀年[1] 汪思银[1] 

机构地区：[1]芜湖市疾病预防控制中心,安徽芜湖241000

出　　处：《安徽预防医学杂志》2012年第6期407-410,共4页Anhui Journal of Preventive Medicine

摘　　要：目的评价芜湖市麻疹监测工作质量,分析麻疹流行特征,为进一步加强麻疹控制工作提供依据。方法对芜湖市2009～2011年麻疹疑似病例监测状况及麻疹流行特征进行分析。结果 2009～2011年麻疹排除病例年均报告发病率5.22/10万,麻疹疑似病例及时调查率、血标本采集率、血标本及时送检率、血标本检验结果及时报告率、麻疹暴发疫情血清学确诊率等监测指标均达目标。2009～2011年麻疹发病率分别为9.29/10万、0.61/10万、0.95/10万,市区麻疹发病率高于农村地区。麻疹发病以3～8月份为主,占88.24%,麻疹发病高峰期有延长趋势。婴儿麻疹发病率最高,发病数占总病例数的27.06%,57.97%的婴儿麻疹病例发病年龄小于8月龄;50.20%的麻疹病例为15岁以上大龄儿童及成人,其发病有上升趋势。81.57%的麻疹患者无麻疹疫苗免疫史或免疫史不详。结论芜湖市2009～2011年麻疹监测系统较为敏感,监测质量较高;有必要采取更为积极有效的措施加强对婴儿、大龄儿童及成人的麻疹预防控制工作。Objective To evaluate the quality of measles surveillance and epidemic characteristics in Wuhu and provide a basis for further enhancing measles control.Methods Surveillance situation and to epidemic characteristics were analyzed in Wuhu from 2009 to 2011.Results The annual average reported incidence of excluded measles cases reached 5.22 per 100 thousand.The rate of timely investigation about suspected measles cases,collection rate of blood specimen,timely submission rate of blood samples,timely report rate of blood specimen test results,rate of measles outbreaks in serological diagnosis,and so on all reached the goals.The incidence of measles were 92.9,6.1 and 9.5 per million from 2009 to 2011.The rate was higher in urban than that in rural areas.88.24% of cases occurred from March to August.The peak time of the measles showed prolonged trend.Incidence of measles was the highest in infants during 2009-2011,and the age-specific incidence was 124.34 per 100 thousand,accounted for 27.06% of the total rate.57.97% of the infants with measles cases were less than 8 months.77.26% measles cases were more than 15 years old.Its incidence showed rising trend,the proportion of measles cases in older children and adult were 46.12%,64.29% and 68.18% respectively from 2009 to 2011.81.57% of the measles cases had not accepted timely immunization or vaccination.Conclusions The measles surveillance system was sensitive,and the quality of measles surveillance was high from 2009 to 2011.It＇s necessary to take more active and effective measures to strengthen prevention and control of measles in infants,older children and adults.

关 键 词：麻疹 监测 流行特点 

分 类 号：R511.1[医药卫生—内科学]