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目的分析浙江省嘉兴市秀洲区近年麻疹流行病学特征,探索制定符合当前实际的麻疹控制的方案,以达到卫生部提出的2012年前后达到或接近消除麻疹的目标。方法用描述流行病学方法对秀洲区2004-2008年麻疹个案资料进行流行病学分析。病例个案包括实验室确诊病例和临床诊断病例。结果秀洲区2004-2008年麻疹发病445例,年发病率最高为2005年(40.70/10万),最低为2004年(7.47/10万)。每年3-5月为发病高峰。病例中5岁以下发病165例,占总数的37.08%;20岁以上发病158例,占总数的63.45%;病例发病年龄呈“双向移位”现象。本地人口与外来人口发病数分别占55.96%、44.04%。结论根据麻疹发病的现状,为达到卫生部提出的控制目标,应着重开展麻疹疫苗的2剂次免疫工作,在开展麻疹疫苗查漏补种、强化免疫的工作时间可考虑在每年发病高峰来临前、流动人口节后返回后。
Objective To analyze the epidemiological characteristics of measles in Xiuzhou District, Jiaxing City, Zhejiang Province in recent years, and to explore ways to formulate measles control in line with the current actual situation so as to achieve the target of reaching or approaching or eliminating measles by the Ministry of Health before and after 2012. Methods Descriptive epidemiological methods were used to analyze the epidemiological data of measles cases in Xiuzhou District from 2004 to 2008. Case cases include laboratory confirmed cases and clinical diagnosis cases. Results The incidence of measles in 2004-2008 in Xiuzhou district was 445 cases, with the highest annual incidence rate in 2005 (40.70 / 100,000) and the lowest rate in 2004 (7.47 / 100,000). March-May annual peak incidence. Among the cases, 165 cases were less than 5 years old, accounting for 37.08% of the total; 158 cases were more than 20 years old, accounting for 63.45% of the total cases; the age of onset was “bidirectional shift”. The incidence of local population and migrant population accounted for 55.96%, 44.04%. Conclusion According to the status quo of measles, in order to reach the control target put forward by the Ministry of Health, two doses of measles vaccine should be carried out. Before the onset of measles vaccination and intensive immunization, the work time can be considered After the floating population returned after the holiday.