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目的 分析泉州市2009年麻疹监测结果,为制定消除麻疹策略提供科学依据。方法 按国家麻疹监测方案开展监测工作,应用描述流行病学方法和Excel 2003软件对2009年麻疹监测结果进行分析。结果 2009年共有132例麻疹疑似病例纳入麻疹监测信息报告管理系统管理,确诊15例,发病率为0.19/10万,排除病例报告发病率﹥1/10万的县(市、区)占41.67%;48 h个案调查率为96.09%,7 d内血清检测结果及时报告率达到85.51%;血标本采集率为52.27%(69/132),检测麻疹IgM阳性率为21.74%,检测风疹IgM阳性率为42.03%。73.33%的病例集中在晋江;53.33%的病例集中在1月份和4月份;66.67%的病例集中在0～7月龄小年龄组和﹥14岁的大年龄组;无免疫史和免疫史不详者占73.33%;66.67%的病例是流动人口;60%的病例在发病前7～21 d去过医院。结论 泉州市2009年麻疹监测的敏感性和特异性均较低;无MV免疫史和免疫史不详的人群是麻疹发病的高危人群。
Objective To analyze the results of 2009 measles surveillance in Quanzhou and provide a scientific basis for formulating measles elimination strategies. Methods According to the national measles monitoring program, the monitoring results were analyzed by using descriptive epidemiological methods and Excel 2003 software. Results A total of 132 measles cases were included in the management of measles surveillance information reporting system in 2009 with a confirmed incidence of 0.19 / 100,000 and 41.67% of the cases (> ; 48 h case-investigation rate was 96.09%, 7 d serum test results timely reporting rate of 85.51%; blood collection rate was 52.27% (69/132), measles IgM positive rate was 21.74%, detection of rubella IgM positive rate As 42.03%. 73.33% cases were in Jinjiang; 53.33% cases were in January and April; 66.67% cases were in 0 ~ 7 months old age group and> 14 years old large age group; no history of immunization and immune history was unknown Accounted for 73.33%; 66.67% of the cases were floating population; 60% of the cases went to the hospital 7 to 21 days before onset. Conclusion The sensitivity and specificity of measles surveillance in 2009 in Quanzhou were low. The population with no history of MV immunization and unknown history of immunization was the high risk of measles.