2005-2011年东莞市麻疹流行特征分析  

Analysis on the epidemiological characteristics of measles in Dongguan between 2005 and 2011

作　　者：陈绍丽[1] 林伟研[2] 莫想换[1] 唐萃菲[1] 蔡碧兰[1] 唐豪[2] 倪进东[2] 

机构地区：[1]广东省东莞市疾病预防控制中心,广东东莞523082 [2]广东医学院公共卫生学院,广东东莞523808

出　　处：《现代预防医学》2014年第24期4419-4421,共3页Modern Preventive Medicine

基　　金：东莞市科技计划(重点)项目(2011105102003)

摘　　要：目的分析东莞市麻疹流行特征,为制定麻疹防控策略提供科学依据。方法采用描述性流行病学方法,对东莞市2005-2011年麻疹发病及分布情况进行统计分析。结果东莞市2005-2011年共报告麻疹病例7 923例,死亡病例2例;各年发病率分别为31.57/10万、18.24/10万、32.35/10万、25.64/10万、3.69/10万、1.26/10万和0.75/10万。每年4-7月为高发季节,期间报告病例4 646例,占总病例数的58.64%;病例大部分为外省户籍（77.81%）;病例职业构成以散居儿童最多（55.02%%）,其后依次为工人（17.39%）、学生（8.14%）;〈5岁年龄组发病率最高（1 813.28/10万）,15~19岁和20~24岁两个年龄段病例数自2009年后显著增加。结论东莞市2005-2011年麻疹发病呈先高后低趋势,发病仍属小年龄人群发病模式,年轻成人病例构成有上升趋势。今后有必要对一些新出现易感年龄段人群开展针对性的强化免疫活动。Objective The study analyzed the epidemiological characteristics of measles in Dongguan City,aiming to provide a scientific reference for developing prevention and control strategies against measles epidemic.Methods The incidence and distribution of measles in Dongguan between 2005 and 2011 were analyzed by descriptive epidemiology methods.Results A total of7923 measles cases,including 2 deaths,were reported in Dongguan between 2005 and 2011,and the incidences throughout the 7years were 31.57/100 000,18.24/100 000,32.35/100 000,25.64/100 000,3.69/100 000,1.26/100 000,and 0.75/100 000,respectively.The disease was most prevalent during April to July each year,reporting 4646 cases（58.64%） in total.Most of the cases were from other provinces（77.81%）;the disease occurred mostly among children（55.02%）,especially those under the age of 5（1813.28/100 000）,followed by workers（17.39%） and students（8.14%）.The incidences among individuals aged between 15-19 and 20-24 had increased significantly since 2009.Conclusion Measles incidences in Dongguan City between 2005 and 2011 were high at first but dropped in later years.While the disease was still most prevalent among young children,the percentage of young adults had increased over time.Developing enhanced immunization programs targeting the emerging susceptible individuals is required.

关 键 词：麻疹 流行病学特征 年龄分布 

分 类 号：R183.3[医药卫生—流行病学]