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目的分析山东省滨州市2008年麻疹流行病学特征。方法采用描述流行病学方法,分析2008年滨州市麻疹疫情特点,采用酶联免疫吸附试验检测麻疹IgM抗体。结果2008年该市共报告麻疹确诊病例811例,实验室确诊病例464例,占总病例的57.21%;临床/流行病学确诊病例347例,占总病例的42.79%,年发病率为21.73/10万,发病模式呈散发与暴发并存;病例分布广泛,并有明显的季节性。1-5月发病例数占总病例数的96.05%,1-4月为发病高峰;病例分布有明显的地域差异,发病相对集中地区的病例占总病例数的66.34%;≤15岁儿童发病占总病例数的56.10%,其中学龄前儿童病例占总病例数的38.22%,小学生病例占总病例数的17.39%;病例中无免疫史和免疫史不详占87.92%。结论山东省滨州市2008年麻疹发病水平骤升,发病时间有明显季节性,1-4月为发病高峰。
Objective To analyze the epidemiological characteristics of measles in 2008 in Binzhou, Shandong Province. Methods Descriptive epidemiological methods were used to analyze the epidemic situation of measles in Binzhou in 2008 and the measles IgM antibody was detected by enzyme-linked immunosorbent assay (ELISA). Results In 2008, a total of 811 cases of measles were confirmed, 464 cases were laboratory confirmed, accounting for 57.21% of the total cases, 347 cases of clinical / epidemiological diagnosis, accounting for 42.79% of the total cases and the annual incidence was 21.73 / 100,000, the incidence pattern was emanating and outbreak coexist; cases are widely distributed, and there is a clear seasonal. From January to May, the number of cases accounted for 96.05% of the total number of cases, the peak incidence from January to April; the distribution of cases showed obvious regional differences, the incidence of relatively concentrated areas accounted for 66.34% of the total number of cases; children ≤15 years of age Accounting for 56.10% of the total number of cases, of which preschool children accounted for 38.22% of the total number of cases, cases of primary school students accounted for 17.39% of the total number of cases; no history of immunization and immune history accounted for 87.92%. Conclusion The incidence of measles in 2008 in Binzhou City, Shandong Province has risen sharply. The onset time is obviously seasonal, and the peak is from January to April.