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目的:评价浙江省嘉兴市2009-2013年麻疹监测系统(Measles Surveillance System,MSS)的运转情况,为评价麻疹监测工作提供依据。方法:分析嘉兴市7个县(市、区)在2009-2013年通过MSS上报的疑似麻疹病例个案数据库,评价MSS主要运转指标。结果:2009-2013年嘉兴市通过MSS共报告疑似麻疹病例1 317例,其中确诊麻疹病例401例,排除麻疹916例。48h完整调查率均>95%;实验室结果7d内及时报告率逐年上升,2009年最低(86.71%),2011年后维持在100%。第一份血标本采集率均>90%;第二份血标本采集率从11.71%上升至100%,并维持在较高水平。排除病例报告发病率均>2/10万,其中2012年高达6.06/10万。结论:嘉兴市MSS的特异性和及时性监测指标良好,但敏感性监测指标过于敏感,需进一步加强各级医疗机构对麻疹的业务培训,以适应消除麻疹需要。
Objective: To evaluate the operation status of Measles Surveillance System (2009-2013) in Jiaxing City, Zhejiang Province, and provide a basis for evaluating measles surveillance. Methods: The case database of suspected cases of measles reported by MSS in 7 counties (cities and districts) of Jiaxing from 2009 to 2013 was analyzed to evaluate the main operation indexes of MSS. Results: A total of 1 317 suspected cases of measles were reported in Jiaxing from 2009 to 2013, including 401 cases of measles and 916 cases of measles. 48h full survey rates were> 95%; laboratory results within 7d timely reporting rate increased year by year, the lowest in 2009 (86.71%), maintained at 100% after 2011. The first blood specimen collection rate was> 90%; the second blood specimen collection rate rose from 11.71% to 100%, and maintained at a high level. Excluding the incidence of case reports were> 2 / 100,000, of which up to 6.06 / 100,000 in 2012. Conclusion: The specific and timely monitoring indicators of MSS in Jiaxing City are good, but the sensitive monitoring indicators are too sensitive. It is necessary to further strengthen the business training on measles at all levels of medical institutions to meet the needs of eliminating measles.