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目的落实《2006-2012年天津市消除麻疹行动计划》,积极稳步推进消除麻疹工作,为今后工作奠定基础。方法采用描述性流行病学方法分析2006-2015年天津市北辰区麻疹流行的现状与趋势,并进一步分析麻疹的流行因素及分布特征。结果 2006-2015年北辰区麻疹报告发病率呈现波动趋势,在1.0/10万到30.07/10万之间。2007、2008、2010和2014年该地区麻疹报告发病率均超过15/10万。行政区内出现流动人口聚集地麻疹高发。发病年龄集中在两个年龄段一儿童组(<1岁),成人组(20~45岁)。麻疹患者居住与职业背景以散居儿童、家务及待业者为主。结论在加强常规免疫工作,不断加强疫情监测基础上,补充对20~45岁年龄组成人麻疹免疫状况调查和采取应对措施,严格控制院内感染,有助于早日完成消除麻疹的重要目标。
Objective To implement the Action Plan on Elimination of Measles in Tianjin City from 2006 to 2012, actively and steadily promote the elimination of measles and lay the foundation for future work. Methods Descriptive epidemiological methods were used to analyze the status and trends of measles epidemics in Beichen district of Tianjin from 2006 to 2015. The prevalence and distribution characteristics of measles were further analyzed. Results The incidence of measles in Beichen district fluctuated between 1.0 / 100,000 and 30.07 / 100,000 in 2006-2015. The incidence of measles reported in the area in 2007, 2008, 2010 and 2014 exceeded 15 / 100,000. High incidence of measles occurred in the administrative area with floating population. The age of onset concentrated in two age groups, a child group (<1 year old), adult group (20 to 45 years old). Measles patients living and working background to diaspora, housework and unemployed mainly. Conclusion On the basis of strengthening routine immunization work and continuously strengthening the surveillance of epidemic situation, it is necessary to supplement the survey and countermeasures against measles immunity in adults aged 20-45 years and to strictly control the nosocomial infection, so as to help accomplish the important goal of eliminating measles as soon as possible.