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目的了解尉氏县近几年麻疹发生的流行病学特征,分析爆发和流行原因,为今后制定预防和控制麻疹的措施提供科学依据。方法统计分析2004—2007年全县麻疹疫情报告及调查检测信息。结果2004年和2007年麻疹疫情呈散发,2005年实行门诊化接种,2005年和2006年麻疹疫情呈现大幅上升并出现多起暴发。4年共报告麻疹病例211例,其中实验室确诊57例,临床诊断及符合154例。<8月龄者23例,占10.90%,9月龄—5岁属高发年龄组共121例,占57.34%,2—5月为发病高峰。结论全县麻疹疫苗接种工作质量有待提高,目前运行的门诊化预防接种模式急需改进。对<8月龄儿童的麻疹疫苗免疫策略有待深入探讨。
Objective To understand the epidemiological characteristics of measles in recent years in Weishi County, analyze the causes of the outbreak and epidemic, and provide a scientific basis for future measures to prevent and control measles. Methods Statistical analysis of 2004-2007 county measles epidemic report and investigation and testing information. Results The epidemic situation of measles was distributed in 2004 and 2007, and outpatient vaccination was carried out in 2005. The outbreak of measles in 2005 and 2006 showed a sharp rise and many outbreaks occurred. A total of 211 measles cases were reported in 4 years, of which 57 were diagnosed clinically and were clinically diagnosed and in line with 154 cases. There were 23 cases (<10 months), accounting for 10.90% of all cases. The age of 9 months to 5 years was 121 cases (57.34%) in the high incidence age group, and the peak was from February to May. Conclusion The quality of measles vaccination work in the whole county needs to be improved. The outpatient vaccination mode currently in operation urgently needs improvement. The measles vaccine immunization strategy for children <8 months of age needs further study.