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目的评价菏泽市消除麻疹工作进展状况,以提高麻疹监测系统(measles surveillance system,MSS)运转水平,并为证实消除麻疹工作提供基础资料。方法对该市2009—2012年MSS资料进行描述分析。结果 2009—2012年报告麻疹疑似病例分别为322、485、70和61例。各年度疑似病例样本采集率在19.87%~83.61%,差异有统计学意义(P<0.05),麻疹IgM检测后7日内报告率分别在52.94%~94.23%,差异有统计学意义(P<0.05)。麻疹确诊病例分别为256、412、31和9例,年发病率(1/10万)分别为2.98、4.75、0.37、0.11。麻疹发病呈散发,麻疹发病以3岁以下儿童为主。2010—2011年麻疹疫苗及时接种率在70.75%~80.17%之间,年度间差异有统计学意义(P<0.01)。结论该市近年来麻疹发病率得到有效控制,消除麻疹工作进展情况正在改善,并提出提高麻疹疫苗接种率为消除麻疹工作的重点。
Objective To evaluate the progress of eliminating measles in Heze City so as to improve the operation level of measles surveillance system (MSS) and provide basic information for confirming the elimination of measles. Methods The MSS data of the city from 2009 to 2012 were analyzed. Results Suspected cases of measles reported in 2009-2012 were 322, 485, 70 and 61 cases respectively. The collection rate of suspected cases in each year ranged from 19.87% to 83.61%, the difference was statistically significant (P <0.05). The reported rates of measles IgM within 7 days after the test were 52.94% ~ 94.23%, respectively, with statistical significance (P <0.05 ). Measles cases were confirmed as 256,412,31 and 9 cases, the annual incidence (1/10000) were 2.98,4.75,0.37,0.11. Measles incidence was distributed, the incidence of measles to children under 3 years of age. The measles vaccine coverage in 2010-2011 ranged from 70.75% to 80.17%, with a significant difference between years (P <0.01). Conclusion The incidence of measles in the city has been effectively controlled in recent years, and the progress of the elimination of measles is being improved. The focus of improving the measles vaccination rate is to eliminate measles.