一次农村麻疹暴发及有关麻疹流行的一些问题

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1979年2~4月份,新野县小秦庄出现麻疹暴发流行,共发生病人33例,男23名,女10名,发病向大年龄组推移,6~11岁发病例数比5岁以下发病例数还高得多。33例中有26例患者(78.7%)都是在去年(78)年元月与今年元月均未接种麻苗者。但值得注意的是,78年元月份接种过的儿童,79年仍有相当一部分人发病。该村78年8岁以下儿童共接种麻疹36人(79年未接种),这些人中,有7例发病,发病率19.4%。33例之7例于78年接种过疫苗,占21.2%。即有1/5以上的接种者在接种一年之后发了病。78年8岁以下儿童中27人未接种疫苗,这些人今年就有17例发病,发病率为62.9%,为接种组发病率之3倍。可见未接种组发病率还是较接种组发病率高得多。发病年龄的推移还可能继续下去,疫苗接种应有相应的灵活性。 From February to April 1979, there was a measles outbreak in Xiaoqin Village, Xinye County. There were 33 patients, 23 males and 10 females. The incidence went down to the older age group. The incidence of the disease was 6 to 11 years younger than 5 years old The number of cases is much higher. Twenty-six of the 33 patients (78.7%) were those who had not been vaccinated in the previous month (78) and the first month of this year. However, it is worth noting that a significant proportion of children vaccinated in January 1978 still have a significant proportion of people in 79 years. In the village, 78 children under 8 years of age were vaccinated against 36 measles cases (79 years of non-vaccination). Of these, 7 cases were reported with a prevalence of 19.4%. Seven of 33 cases were vaccinated in 78 years, accounting for 21.2%. That is, more than one fifth of vaccinated people became sick after one year of vaccination. Of 78 children aged 8 and under, 27 were unvaccinated and 17 of these children were affected this year, at a rate of 62.9%, three times the incidence of the vaccination group. Shows that the incidence of unvaccinated group is still much higher than the incidence of vaccination group. The age of onset may also continue, vaccination should have the appropriate flexibility.
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