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目的了解大理州2000-2008年麻疹流行病学特征,为制订消除麻疹控制策略提供依据。方法采用描述流行病学方法对法定传染病报告系统和麻疹监测系统资料进行分析。结果大理州2000-2008年共报告麻疹941例,年平均发病率为3.09/10万,以2007年发病率最高(6.83/10万),2005年发病最低(0.63/10万);常住人口发病870例,占92.45%。8月龄～7岁、≥20岁、8～14岁,分别占37.83%、26.35%、13.28%;对941例麻疹免疫史分析,有麻疹减毒活疫苗(MV)免疫史、无免疫史、免疫史不详的分别占18.16%、49.06%、32.77%。结论常住人口发病较多,发病年龄以8月龄～7岁和≥20岁为主。提高MV2剂次接种率和免疫成功率,定期开展MV的强化免疫和查漏补种,加强麻疹监测和基层人员培训是控制麻疹发生与流行的关键。
Objective To understand the epidemiological characteristics of measles from 2000-2008 in Dali Prefecture and provide evidence for the development of measles control strategies. Methods Descriptive epidemiological methods were used to analyze notifiable infectious disease reporting systems and measles monitoring system data. Results A total of 941 measles cases were reported in Dali Prefecture from 2000 to 2008, with an average annual incidence rate of 3.09 / lakh, with the highest incidence in 2007 (6.83 / lakh) and the lowest incidence in 2005 (0.63 / lakh) 870 cases, accounting for 92.45%. 8 months old to 7 years old, ≥20 years old, 8 to 14 years old, accounting for 37.83%, 26.35%, 13.28% respectively; Analysis of 941 measles immunization history, measles live attenuated vaccine (MV) immunization history, The unknown history of immunization accounted for 18.16%, 49.06% and 32.77% respectively. Conclusion The resident population has more morbidity, with the onset age of 8 months to 7 years and ≥20 years. To improve the vaccination coverage and immunization success rate of MV2, strengthen immunization and leak detection and replanting on a regular basis, and strengthen measles monitoring and grassroots personnel training are the keys to control the occurrence and prevalence of measles.