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目的分析深圳市宝安区2003-2007年麻疹流行病学特征。方法采用描述流行病学方法。结果深圳市宝安区2003-2007年共报告麻疹205例,年发病率为1.93/10万~11.41/10万;常住和流动人口发病分别为159和46例,各占77.56%和22.44%,常住人口中外来工病例占42.14%(67/159);205例中<8月龄儿童发病13例,占6.34%,≥18岁136例,占66.34%,病例中有麻疹疫苗免疫史者占15.61%(32/205),无免疫史和免疫史不详者占84.39%(173/205)。结论人口频繁流动和免疫空白及免疫失败人群的自然积累是麻疹发病回升的主要原因。高覆盖率的常规免疫结合强化免疫活动和有效的疾病监测系统是控制麻疹的策略。
Objective To analyze the epidemiological characteristics of measles from 2003 to 2007 in Bao’an District of Shenzhen City. Methods used to describe epidemiological methods. Results A total of 205 measles cases were reported in Baoan District of Shenzhen City from 2003 to 2007, with an annual incidence rate of 1.93 / lakh to 11.41 / lakh. The incidence of resident and migrant population was 159 and 46 cases, accounting for 77.56% and 22.44% respectively, Among the 205 cases, 13 cases (6.34%) of children <8 months of age, 136 cases of ≥18 years old, accounting for 66.34%, and 15.61 cases of measles vaccine immunization history % (32/205), 84.39% (173/205) of unknown history of immunization and unknown history of immunization. Conclusions The frequent accumulation of population and immune blank and the natural accumulation of immune failure population are the main reasons for the rise of measles. Routine immunization with high coverage combined with intensive immunization activities and an effective disease surveillance system is a measles control strategy.