2009-2018年广元市麻疹监测结果分析  

Epidemiological Characteristics of Measles in Guangyuan City From 2009 to 2018

作　　者：张勇[1] 侯雪芹[1] 谭学蓉[1] 李丹 熊丽 朱俊[1] 龙洋 ZHANG Yong;HOU Xueqin;TAN Xuerong;LI Dan;XIONG Li;ZHU Jun;LONG Yang(Guangyuan Center for Disease Control and Prevention,Guangyuan 6280017,Cuangzhou Province,China.)

机构地区：[1]广元市疾病预防控制中心,四川广元6280017

出　　处：《职业卫生与病伤》2020年第2期97-100,共4页Occupational Health and Damage

摘　　要：目的分析广元市麻疹流行特征,为制定麻疹防控和消除策略提供科学依据。方法从国家麻疹监测系统中收集2009-2018年广元市麻疹监测病例,采用描述性流行病学方法进行分析。结果2009-2018年广元市共报告麻疹病例135例,年均发病率0.51/10万,3-9月为发病高发月份,发病人群中<1岁儿童和15岁以上成人占65.92%,无免疫史或免疫史不详占81.48%,医院内感染接触史占19.26%,实验室确诊率91.11%,排除麻疹风疹病例报告发现率大于2/10万。结论广元市麻疹处于低水平发病状态。应针对性加强宣传,提高适龄儿童常规免疫接种;积极开展育龄期妇女麻疹疫苗接种,降低8月龄以下幼儿发病率;加强医院内院感控制,对职业易感人群进行麻疹疫苗接种保护;继续加强监测,保持麻疹监测系统的良好运转以达到控制和消除麻疹的目的。Objective To analyze the epidemiological characteristics of measles in Guangyuan City from 2009 to 2018 in order to provide scientific basis for formulating measles control and elimination strategies.Methods Measles surveillance data in Guangyuan City from 2009 to 2018 were collected from the National measles surveillance system.Descriptive statistics were used to analyze the data.Results A total of 135 measles cases were reported in Guangyuan City from 2009 to 2018,with an average annual incidence of 0.51/105.The incidence reached peak in March-September.Most cases were children under 1 year old and adults over 15 years,accounted for 65.92%.Cases with no history of immunity or an unknown history of immunity accounted for 81.48%.19.26%of cases have a history of nosocomial infections.The laboratory-confirmed rate of measles was 91.11%,and the rate of excluding case report for measles and rubella was more than 2/105.Conclusion The incidence of measles was at a low level in Guangyuan City.The propaganda should be strengthened to improve the routine immunization of school-age children.Measles vaccination for women of childbearing age should be actively carried out to reduce the incidence of children under 8 months of age.The prevention of nosocomial infection and measles vaccination to the occupational susceptible population should be strengthened.Meanwhile,surveillance should continue to be strengthened to maintain the good operation of measles surveillance system.

关 键 词：麻疹 监测系统 分析 

分 类 号：R511.1[医药卫生—内科学] R181.3[医药卫生—临床医学]