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目的分析晋江市麻疹流行病学特征和含麻疹类疫苗免疫情况,了解麻疹防控存在的问题,探讨消除麻疹的重要措施。方法用描述流行病学方法对2008—2013年晋江市麻疹疫情资料进行分析。结果晋江市2008—2013年共报告麻疹确诊病例208例,年均发病率1.95/10万,2008年发病率最高为11.24/10万,2012年无确诊病例,2013年出现反弹(0.70/10万),6年总体呈下降趋势;发病高峰均在5~8月;流动人口较多的乡镇高发;男女性别比为1.5∶1,男性发病率(2.26/10万)高于女性(1.61/10万);病例以7周岁以下的儿童为主(72.1%),其中未到免疫月龄的占34.1%,有免疫史的占33.2%,其余为无免疫史和免疫史不详。结论应继续提高并维持高水平麻疹疫苗接种率;鼓励外来务工人员和育龄妇女接种麻腮风疫苗。
Objective To analyze the epidemiological characteristics of measles and the immune status of measles-containing vaccines in Jinjiang City, understand the existing problems of measles prevention and control, and discuss the important measures to eliminate measles. Methods Descriptive epidemiological methods were used to analyze the epidemic data of measles in Jinjiang during 2008-2013. Results A total of 208 measles cases were reported in Jinjiang from 2008 to 2013, with an average annual incidence of 1.95 / 100 000. The highest incidence in 2008 was 11.24 / 100 000. There were no confirmed cases in 2012 and a rebound in 2013 (0.70 / 100 000 ), The overall decline trend in 6 years; peak incidence in 5 to August; high incidence of migrant population in towns and villages; male to female ratio was 1.5: 1, male morbidity (2.26 / 100,000) higher than females (1.61 / 10 (72.1%). Among them, 34.1% did not reach the age of immunization, 33.2% had immunization history, and the rest had no history of immunization and unknown immunization history. Conclusions The rate of measles vaccination should be continuously raised and maintained. Migrant workers and women of childbearing age should be encouraged to receive MMR vaccine.