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目的了解麻疹流行及监测系统运转状况,更好地指导今后麻疹控制工作。方法对曲靖市2001-2008年麻疹疫情及监测系统运转状况进行分析。结果 8年全市共报告麻疹5 573例,2001-2008年报告发病率分别为2.31/10万、6.82/10万、7.01/10万、18.41/10万、22.48/10万、17.52/10万、18.57/10万、3.65/10万;病例分布广,呈散发和暴发并存的流行病学模式,以局部点状暴发为主,局部暴发影响着全市的发病强度,病例集中在7岁以下儿童,属小年龄发病模式;男女性别比为1.02∶1;职业构成以散居儿童和学生为主,占报告病例数的83.47%(4 652/5 573)。对675份疑似麻疹病例血清进行麻疹IgM和风疹IgM检测,麻疹IgM抗体阳性率为76.30%、风疹IgM抗体阳性率为7.41%。结论麻疹监测系统运转良好,在麻疹监测中发挥重要作用。今后在抓好麻疹疫苗常规免疫接种工作的同时,适时开展大年龄组儿童的强化免疫,进一步提高人群免疫水平。
Objective To understand the status of measles epidemic and surveillance system and better guide future measles control. Methods The epidemic situation of measles in 2001 and 2008 in Qujing and the operation status of monitoring system were analyzed. Results A total of 5 573 measles cases were reported in the whole city in 8 years. The reported incidence rates in 2001-2008 were 2.31 / 100,000, 6.82 / 100,000, 7.01 / 100,000, 18.41 / 100,000, 22.48 / 100,000, 17.52 / 18.57 / 100000, 3.65 / 100000; epidemiological models of widespread and outbreaks and outbreaks were characterized by local spot-like outbreaks. The outbreaks affected the intensity of the city’s outbreak. The cases were concentrated in children under 7 years of age, It is a minor age-related morbidity model with a sex ratio of 1.02: 1. Occupational composition is dominated by scattered children and students, accounting for 83.47% (4 652/5 573) of the reported cases. Measles IgM and rubella IgM were detected in 675 cases of suspected measles cases. The positive rate of measles IgM antibody was 76.30% and the positive rate of rubella IgM antibody was 7.41%. Conclusion The measles monitoring system is working well and plays an important role in measles surveillance. In the future, we will do a good job of routine immunization of measles vaccine and carry out intensive immunization of children in the large age group in a timely manner so as to further raise the level of population immunity.