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目的分析韶关市2004～2008年麻疹流行特征,为进一步预防和控制麻疹提供科学依据。方法对韶关市2004～2008年麻疹监测数据进行描述性流行病学分析。结果5年间,监测报告麻疹734例,其中临床诊断343例,血清学确诊391例,年均发病率4.62/10万,2005年发病率为7.47/10万,为5年中最高。发病模式为散发和暴发共存,流行季节主要在3-7月份,共643例(87.60%),发病年龄主要为1-10岁,共625例(85.1%),全部病例中439例(59.8%)麻疹疫苗(MV)免疫史不详,179例(24.4%)无MV免疫史。流动人口发病96例,占13%。结论MV接种是控制麻疹的基础,应继续巩固和提高MV接种率和接种质量,并及时查漏补种,以消灭免疫空白人群和低免疫区,同时注意加强流动人口等特殊人群的MV接种工作。
Objective To analyze the epidemiological characteristics of measles in Shaoguan from 2004 to 2008 and provide a scientific basis for further prevention and control of measles. Methods Descriptive epidemiological analysis of measles surveillance data from 2004 to 2008 in Shaoguan City was conducted. Results During the 5 years, 734 measles cases were detected, of which 343 cases were diagnosed clinically and 391 cases were diagnosed serologically. The average annual incidence rate was 4.62 / 100,000. The incidence in 2005 was 7.47 / 100,000, the highest in 5 years. The prevalence was mainly in the period from March to July, with a total of 643 cases (87.60%) and the age of onset was 1-10 years old, with a total of 625 cases (85.1%) and 439 cases (59.8% ) Measles vaccine (MV) immunization history is unknown, 179 cases (24.4%) no history of MV immunization. Floating population incidence of 96 cases, accounting for 13%. Conclusion MV vaccination is the basis of measles control. MV vaccination rate and vaccination quality should be further consolidated and vaccinated. Vaccination and immunization should be eliminated in time to eliminate immunization blank and immunocompromised areas. At the same time, MV vaccination should be strengthened in special populations such as floating population .