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对山东省1951~1994年麻疹流行特征分期进行了分析,结果表明:实施麻疹疫苗接种和儿童计划免疫后,随着麻疹疫苗使用量的增加,免疫程序的完善及免疫接种率的提高,麻疹年平均报告发病率由麻疹疫苗使用前的655.05/10万,分别降至305.92/10万和17.45/10万,削平了麻疹流行的持续高峰,打破了自然流行周期,发病年龄较前有所后移,发病区域趋于缩小。目前,山东省麻疹发病已处于疫苗时代的“相对稳定期”,要达到基本消除麻疹的目标,尚需进一步提高和保持高水平的免疫接种率,加强疫情报告与监测,适时选择高危地区和人群开展强化免疫,做好疫情暴发控制及实验室检测工作。
The epidemiological characteristics of measles in Shandong Province from 1951 to 1994 were analyzed. The results showed that after measles vaccination and childhood immunization, with the increase of measles vaccine usage, improvement of immunization program and immunization coverage, measles year The average reported incidence dropped from 655.05 / 100,000 before measles vaccine use to 305.92 / 100,000 and 17.45 / 100,000, respectively, which flattened the sustained peak of measles epidemic, breaking the cycle of natural epidemic and the age of onset After the earlier shift, the incidence of the area tends to shrink. At present, the incidence of measles in Shandong Province has been in the “relatively stable period” of the vaccine era. To achieve the goal of eliminating measles basically, we still need to further raise and maintain a high level of immunization coverage, strengthen reporting and monitoring of epidemics, and select high-risk areas and populations To carry out intensive immunization, epidemic outbreak control and laboratory testing.