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作 者:丛艳丽[1] 孙丽[1] 李静[1] 陈枚 郭玉[1] 刘岩[1] 张振国[1] CONG Yan-li;SUN Li;LI Jing;CHEN Mei;GUO Yu;LIU Yan(Hebei Provincial Center for Disease Control and Prevention,Shijiazhuang,Hebei 050021,China)
机构地区:[1]河北省疾病预防控制中心,河北石家庄050021
出 处:《实用预防医学》2019年第9期1084-1086,共3页Practical Preventive Medicine
基 金:河北省卫计委医学科研项目指令课题(20170054)
摘 要:目的分析2010年强化免疫人群2015-2016年麻疹疫情流行病学特征,为河北省制定加速控制和消除麻疹的策略提供科学依据。方法收集河北省2015-2016年麻疹监测病例个案信息,采用描述性研究对强化免疫人群和全人群进行流行病学分析。结果强化免疫人群发病率明显低于全人群发病率;强化免疫人群发病高峰期为4-5月份,全人群为3-5月份;强化免疫人群病例有免疫史者占67.80%,全人群病例无免疫史者占69.06%;以医院暴露史为暴露因素的病例对照研究中,强化免疫人群队列病例组与对照组的暴露率没有统计学差异。结论 2015-2016年,强化免疫人群为河北省麻疹疫情的低发人群,2010年的强化免疫活动对2015-2016年的麻疹疫情防控仍有一定的作用。Objective To analyze the epidemiological features of measles epidemics among population participated in measles vaccine supplementary immunization activity in 2010 in Hebei province during 2015-2016, and to provide a scientific basis for formulating strategies to quickly control and eliminate measles prevalence. Methods The information about measles cases monitored in Hebei province in 2015-2016 was collected, and an epidemiological analysis of population participated in measles vaccine supplementary immunization activity and whole population was conducted by using descriptive study. Results The incidence rate of measles was lower in population with measles vaccine supplementary immunization than in whole population. The peak incidence in population with measles vaccine supplementary immunization was from April to May, but that in whole population was from March to May. The proportion of cases with vaccine immunization history in population with measles vaccine supplementary immunization was 67.80%, while that of cases without vaccine immunization history in whole population was 69.06%. As for the case-controlled study based on hospital exposure history as the exposure factor, no statistically significant difference was found in the exposure rate between the case group and the control group in population with measles vaccine supplementary immunization. Conclusions Population with supplementary immunization vaccination was found to be the low incidence group in measles epidemics in Hebei province in 2015-2016;and hence, measles vaccine supplementary immunization activity in 2010 still played a certain role in prevention and control of measles epidemics in 2015-2016.
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