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目的研究麻疹病例流行病学特征,为制定监测与防控策略提供科学依据。方法对2000~2004年所有麻疹个案调查资料及血清标本检测结果进行流行病学统计分析。结果558例麻疹疑似血清标本中,麻疹IgM(+)263份,标本阳性率47.1%;全市年平均发病率1.77/10万;以春夏两季为发病高峰;5~14岁年龄期发病占57.9%;确诊病例中有咳嗽、卡他症状、结膜炎3项典型症状者只有53.6%。结论滁州市处于高度散发与偶然局部爆发的麻疹流行态势。加强麻疹监测力度,实施强化免疫策略是今后的工作方向。
Objective To study the epidemiological characteristics of measles cases and provide a scientific basis for the development of monitoring and prevention and control strategies. Methods All the measles cases from 2000 to 2004 were collected and the results of serum samples were analyzed by epidemiological analysis. Results Among the 558 suspected measles serum samples, 263 were measles IgM (+), with a positive rate of 47.1%. The average annual incidence was 1.77 / 100 000 in the city. The peak incidence was in spring and summer, while the incidence in the age of 5-14 was 57.9%. There were only 53.6% of the 3 typical symptoms of cough, catarrhal symptoms and conjunctivitis in the confirmed cases. Conclusion Chuzhou City is in a highly epidemic situation with occasional local outbreak of measles. Strengthen the monitoring of measles, the implementation of the strategy of strengthening immunization is the future direction of work.