论文部分内容阅读
目的评价滨州市不同时期控制麻疹的效果。方法对滨州市1956～2008年麻疹疫情、麻疹减毒活疫苗(Measles Attenuated Live Vaccine,MV)接种率、人群免疫水平和控制麻疹的成本-效益进行分析。结果控制麻疹的实施,使麻疹发病率持续下降。自实施儿童计划免疫以来,MV报告和调查接种率为87.12%～93.45%,人群麻疹抗体保持在较高水平。按控制麻疹的不同时期进行分析,推广使用MV时期(B期:1967～1978年)和未使用MV时期(A期:1956～1966年)相比,计划免疫时期(C期:1979～1997年)和B期相比、加速控制麻疹时期(D期:1998～2008年)和C期相比,年均发病数分别减少9989例、18500例、378例,年均病死数分别减少267例、49例、50例。在1967～2008年控制麻疹进程中,其总成本-效益比为1:22.97。结论滨州市控制麻疹取得了显著的效果,但实现消除麻疹目标仍需付出艰苦努力。
Objective To evaluate the effect of measles control in different periods in Binzhou. Methods The measles epidemic situation, Measles Attenuated Live Vaccine (MV) vaccination rate, the level of population immunity and the cost-benefit of measles control in Binzhou from 1956 to 2008 were analyzed. As a result, measles control was implemented and the incidence of measles continued to decline. Since the implementation of childhood immunization program, MV coverage and investigation coverage rate was 87.12% ~ 93.45%, the population of measles antibody remained at a high level. According to the different stages of measles control, the promotion of the use of MV (B phase: 1967-1978) and unused MV (A phase: 1956-1966) compared to the planned immunization period (C: 1979-1997 ) Compared with the B phase, the annual average incidence of measles measles (D period: 1998-2008) compared with the C phase, the annual average incidence decreased 9989 cases, 18500 cases, 378 cases, the annual average number of deaths decreased by 267 cases, 49 cases, 50 cases. The total cost-benefit ratio for controlling measles from 1967 to 2008 was 1: 22.97. Conclusion The control of measles in Binzhou has achieved remarkable results, but it still requires hard work to eliminate measles.