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目的了解武鸣县2010-12/2011-02腮腺炎流行期间开展流行性腮腺炎疫苗应急接种对控制流行性腮腺炎流行的效果。方法制定流腮疫苗应急接种方案,收集接种资料,对比分析2003-2004年流行期与2010-2011年流行期疫情情况。结果 2010-12/2011-02份,武鸣县18月龄~15岁儿童腮腺炎类疫苗接种率81.27%。2003-2004年流行期流腮累计发病率为404.82/10万,2010-2011年流行期年为174.84/10万。与2003-2004年相比,2010-2011年流行期的高峰发病率及高峰后1年内发病率均低于2003-2004年流行期(χ2=60.88,P<0.01;χ2=647.55,P<0.01)。2003-2004年流行期历时11个月,发现曲线出现2个发病高峰;2010-2011年流行期历时4个月,仅出现1个发病高峰。结论在流行性腮腺炎流行期开展疫苗应急接种能够降低流行性腮腺炎疫情流行的强度,缩短流行期。为有效控制流行性腮腺炎的流行,流行年期间应尽早开展腮腺炎疫苗应急接种。
Objective To understand the effect of emergency vaccination on mumps during the epidemic of mumps in Wuming County from December 2010 to December 2011. Methods to develop mumps vaccine emergency vaccination program to collect inoculation data, comparative analysis of epidemic situation between 2003-2004 epidemic period and 2010-2011 epidemic. Results In 2010-12 / 2011-02, the mumps vaccination rate of children aged 18 months to 15 years in Wuming County was 81.27%. The cumulative incidence of cheeks during the epidemic period of 2003-2004 was 404.82 / 100,000, with a prevalence of 174.84 / 100,000 during 2010-2011. Compared with 2003-2004, the peak incidence in the epidemic period of 2010-2011 and the incidence in the first year after the peak were lower than those in the epidemic period of 2003-2004 (χ2 = 60.88, P <0.01; χ2 = 647.55, P <0.01 ). 2003-2004 epidemic period lasted 11 months, found that the curve appeared two peak incidence; 2010-2011 epidemic period lasted 4 months, only one incidence peak. Conclusions Vaccination in mumps epidemic period can reduce the epidemic intensity of mumps and shorten the epidemic period. In order to effectively control the epidemic of mumps, mumps vaccination should be conducted as soon as possible during the epidemic year.