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目的分析偃师市麻疹流行病学特征,探讨控制麻疹的措施。方法运用描述流行病学分析方法,对2005-2010年偃师市麻疹疫情资料进行统计分析。结果 2005-2010年偃师市共报告麻疹病例210例,年均发病率为4.12/10万。病例最多的3个乡镇共发病87例,占总病例的41.43%;3~6月为发病高峰,占总病例的85.71%;0~14岁病例占79.52%,其中<8月龄组病例占12.86%;8月龄以上病例中,未免疫、未全程免疫和免疫史不详者占89.52%;病例主要为散发,占总病例的89.52%,暴发疫情4起,均发生在托幼机构和学校。结论提高麻疹疫苗及时接种率和全程接种率,加强入托入学查验预防接种证工作,发现未种和未全程接种的儿童及时给予补种,建议对育龄妇女接种麻疹疫苗,同时重视并采取控制传染源,健康教育,控制院内感染等一系列综合措施为全市消除麻疹的工作重点。
Objective To analyze the epidemiological characteristics of measles in Yanshi City and to explore the measures to control measles. Methods Descriptive epidemiological analysis was used to analyze the epidemic situation of measles in Yanshi City from 2005 to 2010. Results A total of 210 cases of measles were reported in Yanshi City from 2005 to 2010, with an average annual incidence of 4.12 / 100,000. A total of 87 cases accounted for 41.33% of the total cases in the three towns with the largest number of cases, the peak incidence was 3-6 months, accounting for 85.71% of the total cases and 79.52% of cases aged 0-14 years, of which, <8 months of age group accounted for 12.86%; 89.52% of the patients over 8 months of age who were not immunized, not fully immunized and had unknown history of immunization accounted for 89.52% of the total cases and 4 cases of outbreaks, both of which occurred in nurseries and schools . Conclusion The measles vaccination timely vaccination rate and the whole vaccination rate were strengthened. The nursery admission vaccination certificate was strengthened. The children who were not vaccinated and not fully vaccinated were found to be re-vaccinated in time. It is suggested that measles vaccine should be given to women of childbearing age, , Health education, control of nosocomial infections and a series of comprehensive measures for the city to eliminate measles focus.