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[目的]总结和分析黔东南州实施麻疹疫苗(MV)强化免疫后两年来麻疹的流行病学特点,为进一步控制和消除麻疹提供参考。[方法]综合分析强化免疫后2年的麻疹监测系统的疫情资料。[结果]麻疹报告发病率从2004年的35.11/10万,降至2005年2.89/10万、2006年2.81/10万,2005确诊发病率为0.62/10万,2006年确诊发病率为0.36/10万。2005-2006年每月报告疑似病例最多17例、最少为0例,且46.83%的疑似病例为风疹。目前55%的麻疹发生在8月龄～4岁,27.90%的麻疹发生在10岁以上大年龄人群,30.23%免疫史不详,20.93%无免疫史,无聚集性病例发生,学生和托幼儿童发病占42.86%、散居儿童发病占52.38%,其他发病占4.76%。[结论]强化免疫后麻疹发病率较低,病例呈散在性分布,发病高峰仍为冬春季节,只有进一步加强常规免疫服务质量、提高接种率,强化免疫或强化查漏补种在今后一段时期内应继续开展下去,才能保证逐步降低麻疹发病率,直至消除麻疹。
[Objective] To summarize and analyze the epidemiological characteristics of measles two years after the implementation of measles vaccine (MV) in Qiandongnan prefecture, and provide reference for further control and elimination of measles. [Method] The epidemic data of measles surveillance system after 2 years of intensive immunization were comprehensively analyzed. [Results] The incidence of measles reported decreased from 35.11 / 100000 in 2004 to 2.89 / 100 in 2005, 2.81 / 100000 in 2006, the incidence of measles was 0.62 / 100000 in 2006, the incidence of measles in 2006 was 0.36 / 100,000. In 2005-2006, a maximum of 17 suspected cases were reported monthly, with a minimum of 0 cases, and 46.83% of suspected cases were rubella. At present, 55% of the measles occurred in the age group of 8 months to 4 years, 27.90% of the measles cases occurred in the over-10-year-old population, 30.23% of the cases were unknown, 20.93% had no history of immunization, and no aggregation occurred. Students and nurseries The incidence accounted for 42.86%, incidence of scattered children accounted for 52.38%, other incidence accounted for 4.76%. [Conclusion] The incidence of measles was lower and the cases were scattered. The peak incidence was still in the winter and spring seasons. Only in the further period of strengthening routine immunization service, increasing the vaccination rate, strengthening the immune system or strengthening the leak detection and replanting, Should continue to carry on within, in order to ensure the gradual reduction of the incidence of measles until measles elimination.