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[目的]了解保定市1999～2007年麻疹发病情况,分析流行原因,探讨控制策略。[方法]对1999～2007年麻疹监测数据进行描述流行病学分析。[结果]保定市1999～2007年麻疹监测系统共报告麻疹疑似病例4591例,确诊3033例,年均发病率为3.17/10万。病例呈散发分布,有明显的季节性高峰,3～5月份病例占全年的68.13%,男性发病高于女性,发病年龄有向大年龄和未到免疫年龄人群转移的趋势,麻疹病例中有免疫史、无免疫史和免疫史不详的分别占24.58%、38.15%、37.27%。[结论]免疫空白和免疫失败人群的积累是麻疹发病的主要原因。应在加强MV初免和复种的同时,在重点地区适时开展强化免疫,提高接种质量,高免疫接种率和高质量的监测是控制麻疹的关键策略。
[Objective] To understand the incidence of measles in Baoding city from 1999 to 2007, analyze the epidemic reasons and discuss the control strategy. [Method] The epidemiological analysis of measles surveillance data from 1999 to 2007 was described. [Results] A total of 4591 suspected cases of measles were reported from 1999 to 2007 in Baoding, and the number of suspected measles cases was 3033, with an average annual incidence of 3.17 per 100 000. The cases showed sporadic distribution with obvious seasonal peaks. The cases from March to May accounted for 68.13% of the whole year, the incidence of male was higher than that of female, and the age of onset had the tendency of migrating to large and non-immune age groups. Among the measles cases Immunization history, no history of immunization and history of immunization were unknown accounted for 24.58%, 38.15%, 37.27%. [Conclusion] The accumulation of immune blank and immune failure population is the main reason of measles. It is a key strategy to control measles to strengthen timely immunization and improve vaccination quality in high-priority areas while strengthening MV prime and multiple cropping. High vaccination rates and high-quality monitoring are the key strategies to control measles.