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为了解郑州市流动人口麻疹的流行病学特征 ,寻求降低其发病的有效措施 ,利用 2 0 0 0～ 2 0 0 2年麻疹监测系统报告并经实验室确诊的流动人口麻疹病例进行分析。结果显示 :麻疹病人中 8月龄～ 6岁儿童占 6 5 14 %～74 73% ;发病季节高峰为 3～ 7月 ,呈散发和爆发并存 ;病例多集中在郊区城乡结合部 ,免疫史明确病例麻疹疫苗(MV)接种率为 2 1 0 0 %～ 35 4 8% ,未免疫是发病的主要原因。加强对流动儿童常规免疫管理 ,减少漏管漏种 ;结合消灭脊髓灰质炎的强化免疫活动 ,盘查登记 8月龄～ 6岁流动儿童并进行MV强化免疫 ;扩大宣传 ,提高流动人口防病意识 ;加大考核力度 ,增强基层人员责任心 ,改善服务等是降低麻疹发病的关键。
In order to understand the epidemiological characteristics of measles in migrant population in Zhengzhou and to find effective measures to reduce the incidence of measles, the measles cases of measles in floating population which were reported by laboratories of measles surveillance system from 2000 to 2002 were analyzed. The results showed that measles patients aged 6 months to 6 years old accounted for 65,144 to 74,73%; the peak season of onset was from March to July, with the coexistence of sporadic and outbreaks; the cases were mostly concentrated in the suburbs of urban and rural areas and the immunization history was clear The measles vaccine (MV) inoculation rate was 210 ~ 35 48%. The main cause of the disease was unimmunization. Strengthen routine immunization management of migrant children and reduce leakage of leaky tubes; enlist the enhanced immunization activities of poliomyelitis eradication and enumeration of migrant children aged 8 months to 6 years and carry out MV intensive immunization; expand propaganda to raise awareness of prevention of migrant workers; The key to reducing the incidence of measles is to increase examination efforts, enhance responsibility of grassroots personnel, and improve services.