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对贵州省1990~1997年麻疹的流行病学及接种率与发病率的关系进行了系统分析,结果显示:90年代本省麻疹发病率仍停留在较高水平上,下降幅度较慢,每隔4~5年出现一次流行;发病地区分布广泛(91.24%),但主要流行区为山区和边远少数民族地区;发病季节高峰期延长,2-7月病例数占66.67%;发病年龄以14岁以下儿童为主(86.56%),但7岁以下儿童占多数(59.02%).麻疹流行的原因主要是因常规免疫工作不扎实,麻疹疫苗(MV)接种率偏低,免疫空白点较多,引起易感人群的快速积累.提示我省麻疹的预防工作仍处于控制阶段,必须狠抓MV免疫接种工作,确保MV的高接种率和免疫成功率,适时开展MV强化免疫,才能使麻疹发病率快速下降,保证我省麻疹监测工作的顺利开展.
The epidemiology of measles and the relationship between inoculation rate and incidence of measles in Guizhou Province from 1990 to 1997 were systematically analyzed. The results showed that the incidence of measles in the province remained at a relatively high level in the 1990s with a slow decline of 4 The epidemic area was widely distributed (91.24%), but the major epidemic areas were mountainous areas and remote minority areas; the peak season of the disease was prolonged, accounting for 66.67% of cases in February-July; the age of onset The majority of children under 14 years old (86.56%), but the majority of children under 7 years of age (59.02%). The main reason for the prevalence of measles is due to the fact that routine immunization work is not solid, and the immunization coverage of measles vaccine (MV) is low and there are more immunization blank spots, causing rapid accumulation of susceptible people. Prompted the prevention of measles in our province is still in control stage, we must pay close attention to the work of MV vaccination to ensure that the MV vaccination rate and success rate of immunization, timely and timely immunization of MV in order to measles rapid decline in the incidence to ensure that our province measles monitoring Work smoothly.