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为了解山东省麻疹流行状况 ,更好地指导今后加速麻疹控制工作 ,对山东省 1999年和 2 0 0 0年麻疹疫情进行流行病学分析。结果显示 :两年全省共报告麻疹 2 138例 ,2 0 0 0年报告发病率为 0 6 2 / 10万 ,比 1999年下降6 5 75 % ,为历史最低水平。病例分布广泛 ,呈散发和爆发并存的流行病学模式 ,以爆发为主 ,局部爆发影响着全省的发病强度。病例主要集中在 15岁以下儿童 ,其中 1999年以学龄前儿童为主 ,占 4 4 34% ;2 0 0 0年以学龄儿童为主 ,占 5 1 4 6 %。麻疹发病主要与免疫失败有关 ,其次与实际接种率不高有关。今后在抓好麻疹疫苗的常规免疫接种工作的同时 ,适时开展大年龄组儿童的强化免疫 ,进一步提高人群免疫水平 ,预防和控制麻疹爆发。
In order to understand the epidemic situation of measles in Shandong Province and better guide the work of measles control in the future, epidemiological analysis of measles in Shandong Province in 1999 and 2000 was conducted. The results showed that a total of 2 138 measles cases were reported over the past two years in the province, with a reported incidence of 0 6 2/10 million in 2000, a drop of 6 5 75% over 1999, the lowest level in history. The cases are widely distributed and the epidemiological patterns of emancipation and eruption coexist, with the outbreak mainly and the local outbreak affecting the incidence of the province. The cases mainly focused on children under 15 years old, of which 4,404% were pre-school children in 1999 and 5,146% were school-age children in 2000. The main cause of measles related to immune failure, followed by the actual vaccination rate is not high. In the future, we will do a good job of routine immunization of measles vaccine and strengthen the immunization of children in the large age group in a timely manner so as to further raise the population immunity level and prevent and control the outbreak of measles.