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目的分析1998—2009年北京市顺义区麻疹发病的流行病学特征,为制定麻疹控制策略提供依据。方法利用疾病监测资料对1998-2009年顺义区麻疹发病情况进行描述性流行病学研究。结果顺义区近12年来麻疹共发病446例,发病率为5.67/10万,发病情况总体呈逐年上升趋势,2004年后麻疹发病出现明显升高,2005、2006年发病率分别为18.60/10万和15.07/10万;发病高峰为3～5月。发病年龄主要是1岁以内和20～30岁组,1岁以内本市和流动儿童发病基本相同,15岁以上组流动人口发病率高于本市人口。高发职业是散居儿童和民工。结论顺义区麻疹发病的重点人群是流动人口,发病年龄主要是1岁以内和20岁以上年龄组,控制1岁以内人群发病主要是提高8月龄麻风疫苗免疫的及时率,同时提高麻疹疫苗2剂次接种率或在育龄妇女婚检或孕前接种麻风腮疫苗。对于控制20岁以上人群麻疹发病采取的措施主要是集中强化免疫和提高麻疹病例监测的及时性。
Objective To analyze the epidemiological characteristics of measles in Shunyi District of Beijing from 1998 to 2009 and provide evidence for the development of measles control strategies. Methods The epidemiological study on the incidence of measles in Shunyi district from 1998 to 2009 was conducted by using disease surveillance data. Results The incidence of measles in Shunyi district in the recent 12 years was 446 with a prevalence of 5.67 / 100 000. The incidence of the measles increased year by year. The incidence of measles increased significantly after 2004, and the incidence rates in 2005 and 2006 were 18.60 / 100 000 And 15.07 / 10 million; peak incidence of 3 to 5 months. The age of onset was mainly within 1 year of age and 20 to 30 years old group. The incidence of migrant children was basically the same within 1 year of age. The incidence of floating population over 15 years old was higher than that of the city’s population. High job is scattered children and migrant workers. Conclusion The main population of measles in Shunyi District is floating population. The age of onset is mainly within 1 year of age and over 20 years of age. The control of the incidence of measles in the population aged less than 1 year is mainly to improve the timely rate of leprosy vaccine of 8 months old and improve the measles vaccine 2 Vaccination rate or in women of childbearing age premarital or pre-pregnancy vaccination of mumps vaccine. The measures taken to control the incidence of measles in people over the age of 20 are mainly to focus on intensive immunization and improve the timely monitoring of measles cases.