甘肃省静宁县2008年麻疹流行病学特征及防控策略探讨

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目的了解甘肃省静宁县2008年麻疹流行病学特征。方法采用描述性流行病学方法,分析静宁县2008年麻疹疫情特点,采用酶联免疫吸附试验(ELISA)检测血清麻疹IgM抗体。结果 2008年该县共报告麻疹165例,年发病率36.63/10万,以散发为主,病例分布广泛,并有明显的季节性,5~7月报告146例,占总病例数的88.48%。<8月龄16例,占总病例数的9.70%;≤15岁儿童麻疹发病数135例,占总病例数的81.82%。病例中无免疫史和免疫史不详者占76.36%。结论甘肃省静宁县麻疹发病呈明显上升趋势,应进一步加强麻疹疫苗或麻腮风疫苗基础及加强免疫接种工作,消除免疫空白,提高免疫覆盖率。 Objective To understand the epidemiological characteristics of measles in 2008 in Jingning County, Gansu Province. Methods Descriptive epidemiological methods were used to analyze the epidemic characteristics of measles in Jingning County in 2008. Serum measles IgM antibody was detected by enzyme - linked immunosorbent assay (ELISA). Results A total of 165 measles cases were reported in the county in 2008, with an annual incidence rate of 36.63 / 100 000. The distribution was predominant. The cases were widely distributed and obviously seasonal. 146 cases were reported from May to July, accounting for 88.48% . <8 months of age, 16 cases, accounting for 9.70% of the total number of cases; measles cases ≤15 years of age children 135 cases, accounting for 81.82% of the total number of cases. No cases of history of immunization and immune history unknown accounted for 76.36%. Conclusion The incidence of measles in Jingning County, Gansu Province is obviously rising. The foundation of measles vaccine or MMR vaccine should be further strengthened and the vaccination should be strengthened to eliminate the immunization blank and increase the immunization coverage.
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