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目的了解河北省承德市双桥区麻疹疫情动态和监测系统运行情况,为制定防治工作重点提供参考依据。方法分析双桥区2007-2011年麻疹监测系统上报的疑似麻疹病例个案调查表。结果全区2007-2011年报告疑似麻疹199例,经血清学检测确诊135例,其中区外流动人口83例,占确诊总病例数61.5%,本区病例52例,占确诊总病例数的38.5%。本地确诊病例年平均发病率3.12/10万,流动人口确诊病例年平均发病率4.99/10万。发病年龄最小4个月,最大45岁。135例麻疹病例中,有麻疹疫苗接种史的42例(31%);未免疫的63例(47%),免疫史不详的30例(22%)。结论麻疹发病以婴幼儿和成人为主,流动人口发病率较高是不容忽视的群体。应加强8月龄儿童麻疹类疫苗接种的及时率,加大流动儿童的规范化免疫成功率,控制成人麻疹疫情。
Objective To understand the status of measles epidemic situation and monitoring system in Shuangqiao District, Chengde City, Hebei Province, and provide a reference for the formulation of prevention and control work priorities. Methods A case-control questionnaire of measles cases reported by the measles surveillance system in Shuangqiao District from 2007 to 2011 was analyzed. Results A total of 199 suspected measles cases were reported from 2007 to 2011 in the whole district and 135 cases were confirmed by serological test, of which 83 were floating population outside the district, accounting for 61.5% of the total confirmed cases, 52 cases in this area, accounting for 38.5% of the total confirmed cases %. The average annual incidence of locally diagnosed cases was 3.12 / lakh and the annual average incidence of confirmed cases in floating population was 4.99 / lakh. The youngest age of 4 months, maximum 45 years old. Of the 135 cases of measles, 42 (31%) had measles vaccination history; 63 (47%) were unvaccinated and 30 (22%) had unknown history of immunization. Conclusion The incidence of measles is mainly infants and young children, and the high incidence of migrants is a group that can not be ignored. Should be strengthened in 8-month-old children vaccination of measles timely rate, increase the standardized immunization of migrant children success rate, control adult measles epidemic.