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[目的]探讨漳州市麻疹及风疹的流行特征及流行趋势,为防控提供科学依据。[方法]应用抗体捕捉酶联免疫吸附试验对2007-2009年送检的疑似麻疹、风疹的血清标本进行抗体检测。[结果]麻疹患者主要集中在0～20岁,呈散发分布,以外来务工人员及子女为主(92.8%),无麻疹接种史占85.5%;麻疹有向高年龄组后推的趋势;季节分布以第1和第2季度为高发,农村病例数多于城市。风疹2009年呈现一个发病高峰,发病人群以入托儿童及群聚性的中小学生、活动范围较大的青年人为主,以11～15岁和21岁以上青壮年为最突出。[结论]人群免疫空白及农村免疫薄弱是麻疹发病流行主要原因,今后应重点加强流动人口及较偏远农村的免疫规划管理,对易感人群建议接种“麻风腮联合疫苗”。
[Objective] To explore the epidemic characteristics and epidemic trend of measles and rubella in Zhangzhou and to provide a scientific basis for prevention and control. [Method] Antibody was detected by antibody capture enzyme-linked immunosorbent assay (ELISA) on serum samples suspected of measles and rubella sent in 2007-2009. [Results] The measles patients mainly concentrated in the age range of 0-20 years. The distribution was mainly distributed among migrant workers and their children (92.8%), the history of measles vaccination was 85.5% The distribution was high in the first and second quarters, with more cases in rural areas than in urban areas. Rubella showed a peak incidence in 2009. The incidence of the disease was mainly among children and clustered primary and secondary students and young people with large activities. The most prominent were young adults aged 11 to 15 years and 21 years and older. [Conclusion] Vaccination gaps in the population and weak immunity in rural areas are the main reasons for the epidemic of measles. In the future, we should focus on strengthening the administration of immunization programs for migrants and more remote rural areas and recommend “leprosy combined vaccine” for susceptible population.