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目的分析哈尔滨市2009-2012年风疹病例的流行病学特征及《麻疹/风疹专病监测信息报告系统》的运转情况。方法采用描述流行病学方法,对通过《麻疹/风疹专病监测信息报告系统》报告的风疹病例进行流行病学特征分析,并对监测指标进行分析评价。结果发病集中在4-6月份;男女发病比为1.74︰1;15岁~组发病率最高。共监测到孕妇风疹疑似病例8例。各年风疹监测信息报告管理系统指标情况:48 h内个案调查率分别为91.95%、85.90%、95.69%、99.34%;各年血清学检测结果≤7 d报告率分别为87.05%、81.01%、96.96%、97.46%;血标本采集率为80.43%。结论哈尔滨市风疹病例高发人群已转向大年龄,多为15~20岁组人群。《麻疹/风疹专病监测信息报告系统》的应用使风疹病例报告的及时性、敏感性、特异性均有大幅度的提高。
Objective To analyze the epidemiological characteristics of rubella cases in Harbin from 2009 to 2012 and the operation status of the Measles / Rubella Disease Monitoring Information Reporting System. Methods Descriptive epidemiological methods were used to analyze the epidemiological characteristics of rubella cases reported through the “Measles / Rubella Disease Monitoring Information Reporting System”, and the monitoring indicators were analyzed and evaluated. Results The incidence was concentrated in April-June; male to female incidence ratio was 1.74: 1; 15-year-old group had the highest incidence. A total of 8 suspected cases of rubella in pregnant women were monitored. According to the indicators of rubella monitoring information report management system in each year, the case investigation rates within 48 h were 91.95%, 85.90%, 95.69% and 99.34% respectively; the reported rates of serodiagnosis test ≤7d were 87.05% and 81.01% 96.96% and 97.46%, respectively. The blood collection rate was 80.43%. Conclusions The high incidence of rubella cases in Harbin has shifted to older age, mostly in the age group of 15-20 years old. The application of the “Measles / Rubella Disease Monitoring Information Reporting System” has greatly improved the timeliness, sensitivity and specificity of rubella case reports.