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目的了解2014年宾阳县麻疹疫情、流行特征和应急防控措施实施效果,为制定消除麻疹策略和措施提供科学依据。方法对2014年宾阳县麻疹发病情况及采取的应急防控措施进行描述流行病学分析。结果 2014年宾阳县麻疹发病大幅度上升,报告麻疹病例53例,报告发病率为5.08/10万。实验室确诊24例,发病率为2.30/10万;麻疹发病集中在6月,共14例,占58.33%;麻疹发病以散居儿童为主,共16例,占66.67%;所发病例中明确有免疫史者1例,仅占4.17%;62.50%的病例发病前有医院就诊史。结论宾阳县麻疹疫情形势仍然严峻,不同地区之间免疫规划工作发展不平衡,存在输入麻疹病例风险。应提高适龄儿童含麻疹类疫苗的常规免疫接种率和及时接种率,适时开展高发人群特别是薄弱地区人群的查漏补种和强化免疫,重点关注小年龄组麻疹发病和防止院内感染的发生。
Objective To understand the effects of measles epidemics, epidemic characteristics and emergency prevention and control measures in Binyang County in 2014 and provide scientific evidence for the development of measles elimination measures and measures. Methods The epidemic situation of measles in Binyang County in 2014 and the emergency prevention and control measures were described. Results The incidence of measles in Binyang County increased significantly in 2014, with 53 measles cases reported, with a reported incidence of 5.08 / 100,000. Laboratory confirmed 24 cases, the incidence was 2.30 / 100 000; measles incidence concentrated in June, a total of 14 cases, accounting for 58.33%; measles onset to scattered children, a total of 16 cases, accounting for 66.67%; the cases were clear There was 1 case of immune history, accounting for only 4.17%; 62.50% of cases before the onset of hospital history. Conclusion The epidemic situation of measles in Binyang County is still grim. The development of immunization programs in different regions is not balanced and the risk of entering measles cases exists. The routine vaccination rate and timely vaccination rate of measles-containing vaccine for children of school-age should be raised, and the leak detection, seed remodeling and intensive immunization in high-risk population, especially in the weak areas should be carried out in time, with emphasis on the incidence of measles in small-age group and the prevention of nosocomial infection.