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中国初级卫生保健:2019,33(6):54-56
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定西市安定区2008—2017年麻疹监测及流行病学特征分析
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中文摘要: 目的 分析定西市安定区2008—2017年麻疹监测情况及流行病学特征,为制定针对性的麻疹防控措施提供参考依据。 方法 采用描述性流行病学方法对中国疾病监测信息报告管理系统和麻疹监测信息报告管理系统报告的安定区2008—2017年麻疹病例进行统计分析。 结果 安定区2008—2017年共报告麻疹疑似病例190例,其中麻疹病例87例,年均发病率为1.90/10万,2008年发病率最高(7.46/10万),2009年、2012年和2013年无麻疹病例报告, 排除麻疹/风疹病例97例;48小时内完整调查率为100.00%,血标本采集率为93.68%,咽拭子采集率为99.25%;发病高峰主要集中在4~7月份;病例发生在流动人口较多的城区,以外地病例为最多;发病人群以学龄前儿童及成人为主;15岁以下麻疹病例有免疫史者占30.51%;成人病例无免疫史和免疫史不详者占92.59%。 结论  安定区麻疹监测系统运行良好,各监测指标达到国家要求;应继续加强麻疹高发季节的提前防控,重视成人及学龄前儿童麻疹类疫苗接种工作,提高全人群免疫水平。
Abstract:Objective To analyze the surveillance and epidemiological characteristics of measles in Anding District from 2008 to 2017, and provide references for formulating measles prevention and control measures. Methods Descriptive epidemiological method was used to analyze the measles cases reported by China’s Disease Surveillance Information Report Administration System and Measles Surveillance Information Reporting Management System in Anding District from 2008 to 2017. Results A total of 190 suspected measles cases were reported in Anding District from 2008 to 2017, including 87 measles cases, with an average annual incidence of 1.90/100 000. The highest incidence rate was (7.46/100 000) in 2008, and no measles cases in 2009, 2012, 2013. 97 cases were non-measles/rubella. The complete investigation rate was 100% within 48h, the blood specimen collection rate was 93.68%, and the throat swab collection rate was 99.25%. More measles incidents were reported from April to July during a year. Cases occurred in urban areas with a large floating population, with the largest number of cases in the non-local place; the prevalence of preschool children and adults. Cases of measles under the age of 15 with immunity history accounted for 30.51 %. Adult cases with no history of immunity and unknown history of immunity accounted for 92.59 %. Conclusion Measles surveillance system in Anding District was running well, and all surveillance indicators met the national requirements. It needed to strengthen the prevention and control of measles in the season of high incidence, pay attention to the vaccination of measles vaccines for adults and preschool children, and improve the immunization level of the whole population.
文章编号:3201906020     中图分类号:R511.1    文献标志码:
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张海娣①  
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