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[目的]了解济南市风疹流行特征,探索防治策略。[方法]对济南市2000～2010年风疹疫情监测资料进行分析。[结果]2000～2010年累计风疹发病2 062例,年均发病率为3.67/10万。2000～2010年发病率(/10万)分别为0.11、1.28、9.72、3.83、0.10、0.17、14.64、0.87、2.22、1.32、0.52。2000～2010年年均发病率(/10万),济阳县为7.64,商河县为0.45,历下区为5.07,市中区为2.83,槐荫区为4.12,天桥区为4.74,历城区为1.59,长清区为2.52,章丘市为2.16,平阴县为2.57;男性为5.38,女性为2.74;0～4岁为3.14,5～9岁为3.11,10～14岁为20.80,15～19岁为20.41,20～29岁为2.23,30～39岁为0.48,≥40岁为0.05。2 062例病人中,2～6月发病的占94.91%。2004～2010年的1 207例病例中,无风疹疫苗免疫史的占45.90%,有免疫史的占4.56%,免疫史不详的占49.54%。2000～2010年累计发生风疹暴发疫情75起,发病1 216例,占发病总数的58.97%。其中,2002年17起、发病506例,2006年35起、525例;发生在中学的37起,发病707例;章丘市5起,发病210例;每起发病2～9例的占64.47%,10～29例的占23.68%。[结论]济南市风疹疫情较为严重,暴发疫情占较大比例。
[Objective] To understand the epidemic characteristics of rubella in Jinan and to explore the prevention and treatment strategies. [Method] The data of rubella epidemic surveillance in Jinan from 2000 to 2010 were analyzed. [Results] The cumulative incidence of rubella in 2000 ~ 2010 was 2 062 with an average annual incidence of 3.67 / 100 000. The average incidence of disease in 2000 ~ 2010 (per 100 000 population) was 0.11, 1.28, 9.72, 3.83, 0.10, 0.17, 14.64, 0.87, 2.22, 1.32, 0.52 Yang County is 7.64, Shanghe County is 0.45, Lixia District is 5.07, downtown area is 2.83, Huaiyin District is 4.12, flyover area is 4.74, Licheng District is 1.59, Changqing District is 2.52, Zhangqiu City is 2.16 , 2.57 in Pingyin County; 5.38 in males and 2.74 in females; 3.14 in 0-4 years, 3.11 in 5-10 years old, 20.80 in 10-14 years old, 20.41 in 15-19 years old and 2.23 in 20-29 years old, 30-39 years old was 0.48, ≥40 years old was 0.05.2 062 cases of patients, 2 to June incidence of 94.91%. Among the 1 207 cases from 2004 to 2010, 45.90% had no history of rubella vaccine immunization, 4.56% had immunization history, and 49.54% did not know history of immunization. There were 75 outbreaks of rubella outbreak in 2000 ~ 2010, with a total of 1 216 cases, accounting for 58.97% of the total. Among them, in 2002, there were 506 cases with onset of disease in 2006, 35 cases with 525 cases in 2006, 37 cases with secondary school onset and 707 cases with disease onset, 5 cases with Zhangqiu disease and 210 cases with incidence of 64.47 %, 10 ~ 29 cases accounted for 23.68%. [Conclusion] The epidemic situation of rubella in Jinan is more serious and the epidemic outbreak accounts for a larger proportion.