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目的了解广东省<10岁麻疹病例患病特征,为有效防控麻疹流行提供依据。方法采用随机抽样方法对广东省2012年10月10日至2013年1月27日间发病的<10岁实验室确诊麻疹非死亡病例进行电话调查,调查内容包括社会人口学特征、接种史、接种前预约、医院暴露情况、诊疗和疫情处置等内容,并进一步了解适龄儿童未接种麻疹疫苗(MV)原因。对调查结果进行描述性流行病学分析。结果共调查296例<10岁麻疹病例,其中≥8月龄者(适龄接种MV)占80.41%(238/296),以男性为主(208例),男女性别比为2.36∶1,88.18%(261/296)为散居儿童。81.76%(242/296)的病例分布在非珠三角地区。238例≥8月龄病例中,仅13.03%(31/238)接种过MV,未接种MV原因主要为应接种疫苗时患病或不适(67.63%,140/207)。结论本次调查中麻疹感染者主要是广东地区常住≥8月龄儿童,且多未接种MV。广东部分地区存在常规免疫薄弱环节,应加强常规免疫工作,提高MV及时覆盖率。
Objective To understand the prevalence of measles cases in Guangdong province in the age of 10 and provide basis for effective prevention and control of measles epidemics. Methods A random sample was used to conduct a phone survey of non-death cases of laboratory-confirmed measles in 10-year-old children from October 10, 2012 to January 27, 2013 in Guangdong Province. The survey included characteristics of social demography, history of vaccination, vaccination Pre-appointments, hospital exposures, treatment and outbreaks, and to understand more about the causes of unvaccinated measles (MV) in school-age children. Descriptive epidemiological analysis of the survey results. Results A total of 296 cases (<10 years old) of measles were investigated, of whom 80.41% (238/296) were male (≥8 months old) and 208 (male), the ratio of male to female was 2.36:1,88.18% (261/296) is a diaspora. 81.76% (242/296) of the cases were distributed in the non-Pearl River Delta region. Of the 238 patients ≥ 8 months of age, only 13.03% (31/238) were vaccinated against MV. The main cause of unvaccinated MV was illness or discomfort at the time of vaccination (67.63%, 140/207). Conclusion The measles infected persons in this survey were mainly children aged ≥ 8 months who were living in Guangdong Province. Most of them were unvaccinated with MV. In some areas of Guangdong there is a weak link in routine immunization. Regular immunization efforts should be stepped up to increase the timely coverage of MVs.