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为进一步降低北京市西城区麻疹发病率 ,分析了该区 1996～ 2 0 0 1年发热出疹性疾病 (RashandFeverIllness,RFIs)爆发的流行病学特征。结果显示 :1996～ 2 0 0 1年该区共发生RFIs爆发 11起 ,经证实 1起为风疹爆发 ,发病 8例 ,10起为麻疹爆发 ,共 41例。麻疹爆发使该区麻疹的报告发病率由最低的 (1998年 ) 0 38/ 10万上升到最高的(2 0 0 0年 ) 3 19/ 10万。RFIs爆发的流行病学特征如下 :发病对象均为成年人 ,职业以本市服务行业和外地建筑民工为主 ,存在免疫空白。加强血清学诊断 ,开展特定人群强化免疫 ,提高麻疹、流行性腮腺炎、风疹联合疫苗的接种率是控制RFIs爆发的主要预防措施。
To further reduce the incidence of measles in Xicheng District of Beijing, the epidemiological characteristics of the outbreak of RashandFever Illness (RFIs) from 1996 to 2001 were analyzed. The results showed that there were 11 RFIs outbreaks in this area from 1996 to 2001, of which 1 was confirmed as an outbreak of rubella in 8 out of 10 cases and outbreaks of measles were found in 10 out of 41 cases. The outbreak of measles increased the reported incidence of measles in the area from the lowest (1998) of 038 / 100,000 to the highest (2000) of 319 / 100,000. Epidemiological characteristics of the outbreak of RFIs are as follows: All the subjects were adults, occupational health services in the city and the main construction field workers, there is immune blank. To strengthen serological diagnosis, to carry out specific population-based immunization, and to increase measles, mumps and rubella vaccination rates are the main preventive measures to control the outbreak of RFIs.