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目的分析日照市2005—2010年麻疹流行病学特征和预防控制措施,为进一步制定消除麻疹策略及措施提供依据。方法对日照市2005—2010年麻疹发病情况及采取消除麻疹策略和措施进行描述流行病学分析。结果日照市2010年麻疹报告发病率为0.071/10万,初步达到消除麻疹的目标。2005—2010年均以3～6月为麻疹发病高峰;年龄别发病率以15岁以上年龄组最高;麻疹病例主要为无麻疹减毒活疫苗(measles attennuated live vaccine,MV)免疫史或免疫史不详者;共发生麻疹暴发疫情3起,其中2起暴发病例均为输入性病例。结论日照市消除麻疹取得显著进展,高质量的强化免疫(SIA)和查漏补种是减少麻疹发病和阻断麻疹病毒传播的重要手段。应继续保持和巩固高水平儿童基础免疫接种率,加强麻疹疑似病例的监测,做好暴发疫情的预警与控制工作,从而彻底实现消除麻疹的目标。
Objective To analyze the epidemiological characteristics and prevention and control measures of measles from 2005 to 2010 in Rizhao City and provide the basis for further formulation of measles elimination measures and measures. Methods The incidence of measles in Rizhao City from 2005 to 2010 and the elimination of measles strategies and measures to describe the epidemiological analysis. Results The incidence of measles in Rizhao in 2010 was 0.071 / 100,000, initially reaching the goal of eliminating measles. The peak incidence of measles was from March to June in 2005-2010. The age-specific incidence was highest in those over 15 years old. The measles cases were mainly immunized or immunized with measles attennuated live vaccine (MV) Unknown; a total of 3 outbreaks of measles were reported, of which 2 were outbreaks of imported cases. Conclusion Significant progress has been made in eradicating measles in Rizhao City. High quality immunization (SIA) and leak detection and replanting are important means to reduce the incidence of measles and to stop the spread of measles virus. We should continue to maintain and consolidate high-level basic immunization coverage for children, strengthen the monitoring of suspected cases of measles, and conduct early warning and control of the outbreak so as to completely eliminate the measles target.