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目的了解蚌埠市2009年麻疹发病升高的原因,为进一步完善麻疹防控措施提供科学依据,加速消除麻疹工作进程。方法采用描述流行病学方法对麻疹监测数据进行统计分析。结果 2009年是蚌埠市继2005年发生麻疹流行以后的第二个高峰年。2009年麻疹发病率21.43/10万,城市发病高于农村、发病以0～8月龄和7～14岁学龄儿童为主和35岁以上成人发病构成增加,4～7月和12月为发病高峰月。2009年麻疹病例免疫史0剂次、1剂次、≥2剂次、不详分别占64.33%、5.65%、2.36%、27.66%;麻疹病例有接触史、周围有麻疹病例史、外出史、不详,分别占33.40%、28.30%、2.65%、35.65%。结论未免疫、未及时免疫、未全程免疫形成易感人群逐渐积累和增多,是2009年蚌埠市麻疹发病升高的主要原因。加强常规免疫接种,及时控制大年龄人群发病和适时开展麻疹疫苗查漏补种、强化免疫是控制麻疹发病和消除麻疹的关键措施。
Objective To understand the causes of the increased incidence of measles in 2009 in Bengbu, provide a scientific basis for further improvement of measles prevention and control measures and speed up the elimination of measles. Methods Descriptive epidemiological methods were used for statistical analysis of measles surveillance data. Results 2009 was the second peak year in Bengbu after the measles epidemic in 2005. In 2009, the incidence of measles was 21.43 / 100 000, the incidence in urban areas was higher than that in rural areas, the incidence was mainly in school-age children aged 0-8 months and 7-14 years and in adults aged 35 years and older, and the incidence was in April-July and December Peak month. 2009 cases of measles case history of immunization 0 doses, 1 dose, ≥ 2 doses, unknown accounted for 64.33%, 5.65%, 2.36%, 27.66%; measles cases have contact history, history of measles cases around, and out of history, unknown Accounting for 33.40%, 28.30%, 2.65% and 35.65% respectively. Conclusions Unimmunized, not timely immunization, not the full immune formation of susceptible population gradually accumulated and increased, is the main reason for the increased incidence of measles in Bengbu in 2009. Strengthening routine immunization, timely control of the incidence of large-scale population and timely detection of measles Vaccination, immunization is to control the incidence of measles and measles elimination of the key measures.