2009-2017年上海市宝山区麻疹疫情特征分析  

Epidemic characteristics of measles in Baoshan District of Shanghai from 2009 to 2017

作　　者：徐慧清[1] 龚鹏[1] 李晓军[1] XU Hui-qing;GONG Peng;LI Xiao-jun(Center for Disease Control and Prevention,Baoshan District,Shanghai 201901,China)

机构地区：[1]上海市宝山区疾病预防控制中心,上海201901

出　　处：《中国农村卫生事业管理》2018年第12期1533-1536,共4页Chinese Rural Health Service Administration

基　　金：上海市宝山区传染病流行病学重点学科项目(项目编号:BSZK-2014-A07);上海市宝山区科学技术委员会;科研项目(项目编号:14-E-39)

摘　　要：目的:了解2009-2017年宝山区麻疹流行特征和规律,为完善消除麻疹策略和措施提供参考。方法:收集宝山区2009-2017年麻疹疫情资料,用描述性流行病学方法统计分析。结果 2009-2017年,宝山区共报告麻疹病例382例,年平均发病率为2. 19/10万,发病率最高为5. 62/10万(2009年),最低为0. 15/10万(2017年);非该市户籍人口发病率(2. 66/10万)高于户籍人口(1. 86/10万);病例以20～44岁青壮年为主(62. 83%),2岁以下儿童发病较多(17. 28%);工人和民工、散居儿童、家政家务、干部职员和商业服务人员等是麻疹高发人群。92. 93%病例无MCV免疫史或不详。结论:麻疹疫情波动性较大,应警惕反弹可能。建议进一步加强麻疹疫情监测,做好适龄儿童麻疹常规免疫和查漏补种,同时开展成人麻疹疫苗接种工作,以提高人群免疫水平,从而阻断麻疹病毒的传播,实现消除麻疹的目标。Objective To explore the epidemic characteristics and rules of measles in Baoshan District from 2009 to 2017,so as to provide reference for improving measles elimination strategies and measures. Methods The data of measles epidemic in Baoshan District from 2009 to 2017 were collected and analyzed by descriptive epidemiological method. Results From 2009 to2017,382 measles cases were reported in Baoshan District. The annual average incidence rate was 2. 19/100 000,the highest incidence was 5. 62/100 000( in 2009),and the lowest was 0. 15/100 000( in 2017). The incidence rate of non-resident population( 2. 66/100 thousand) was higher than that of household registration population( 1. 86/100 000),and the majority of the cases were adults between 20 and 44 years old( 62. 83%),and children under 2 years old had relatively higher incidence rate( 17. 28%). Workers and migrant workers,scattered children,homemaking service attendants,cadres and business service personnel were groups with high incidence of measles. 92. 93% of the cases had no history of MCV immunization or unknown history. Conclusions The volatility of measles epidemic situation is large,and we should be on guard against the possibility of rebound. It is suggested that the surveillance of measles epidemic situation should be further strengthened,routine measles immunization and leak check should be done among children of appropriate age,and adult measles vaccination should be carried out in order to improve the immunization level of the population and to block the transmission of measles virus so as to achieve the goal of eliminating measles.

关 键 词：麻疹 流行特征 

分 类 号：R181.8[医药卫生—流行病学]