海口市2008～2010年麻疹监测系统运行效果评价  

Evaluation of measles surveillance system in Haikou City during 2008-2010

作　　者：邝继琰[1] 陈仕学[1] 杨兴林[1] 王圆[1] 

机构地区：[1]海南省海口市疾病预防控制中心免疫规划科,海南海口570311

出　　处：《现代预防医学》2013年第16期3113-3116,3119,共5页Modern Preventive Medicine

摘　　要：目的了解海口市2008～2010年麻疹流行病学特征,评价麻疹监测系统运转情况,为进一步加强麻疹监测提供科学依据。方法收集海口市4个区上报的2008～2010年麻疹监测系统数据,采用描述性流行病学方法分析,评价监测系统主要运转指标及相关资料。结果麻疹监测系统敏感性逐年提高,2008～2010年的年排除病例报告发病率41.8/10万,个案调查及时率从2008年的94.3%提高到2010年的100%,疑似病例血标本采集率从2008年的64.5%提高到2010年的94.3%,合格标本采集率从2008年的3.6%提高到2010年的41.5%,个案调查资料48h内专病录入从2008年的99.1%提高到2010年的100%;确诊病例36例,年平均发病率为0.63/10万;发病构成以8月～14岁为主,占总数的50%,年龄﹥14岁发病数为12例,占总发病数的33.3%;病例呈散发,以3～7月发病为主,共发26例,占总发病58.8%;流动人口发病占47.2%,无麻疹疫苗(Measles Attenuated Live Vaccine,MV)免疫史或免疫史不详占72.7%。结论 2008～2010年海口市麻疹监测系统运转情况良好,应进一步提高监测系统的工作质量和人群免疫水平,切实加强流动人口麻疹防控,以实现消除麻疹目标。OBJECTIVE To understand the epidemiological characteristics of measles in Haikou City during 2008-2010 and evaluate the performance of measles surveillance system （MSS） so as to provide the basis for effectively strengthening surveillance. METHODS Descriptive epidemiological method was used to analyze the data of suspected measles cases report- ed by 4 districts through MSS in Haikou City during 2008-2010 and the major operating indicators and related data of MSS were evaluated. RESULTS The sensitivity of MSS was increasing year by year. The annual average incidence rate of non- measles cases was 41.8/100, 000. The investigated timely rates of suspected cases increased from 94.3% in 2008 tol00% in 2010. Collection serum specimen rates of suspected cases increased from 64.5% in 2008 to 94.3% in 2010, proportion of qualified sample in which increased from 3.6% in 2008 to 41.5%.The investigated individual case entry rate within 48 hours of suspected measles cases increased from 99.1% in 2008 to 100% in 2010. 36 measles cases were confirmed and the annual av- erage incidence rate of measles was 0.63/100, 000. 50% of the cases were children aged form 8 mouths to 14 years old. 12 （33.3%） measles cases were older than 14 years old. The cases were scatted distribution, but March to July was the inci- dence peak with 26 cases in total （72.2%）. 47.2% of the cases were migrant population. 58.8% of the cases were without measles vaccination history or without detailed immunization history. CONCLUSION MSS in Haikou City during 2008-2010 is in a good condition and function. We should improve quality of MSS and antibody levels and strengthen the prevention and control of measles in migrant population so as to eliminate measles.

关 键 词：麻疹 监测 流行病学特征 评价 

分 类 号：R272.22[医药卫生—中医儿科学]