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目的了解南宁市兴宁区2006—2010年麻疹流行病特征与规律,为今后麻疹防治策略和措施提供科学依据。方法根据中国疾病预防控制信息系统和麻疹流行病学个案调查表,对南宁市兴宁区2006—2010年麻疹发病情况进行描述性流行病学分析。结果南宁市兴宁区2006—2010年共报告麻疹240例,病例以散发和局部暴发为特征,年平均发病率1.6/10万。发病高峰在3—8月份,以散居儿童为主,发病年龄集中<5岁年龄组,其中<8月龄和8月～组占大多数,成人麻疹也有一定比例。结论加强儿童麻疹接种率,普种和强化接种相结合是降低麻疹发病率的有效手段;落实入学入托查验接种证制度保证大年龄组儿童免受麻疹感染的根本途径,卫生部门、社区组织、派出所等部门形成一个长效的计划免疫管理机制是提高流动儿童麻疹接种率的有效探索。同时考虑对麻疹初免年龄提前到6月龄以及对育龄妇女在生育前进行麻珍疫苗注射是降低<8月龄儿童麻疹的有效措施。
Objective To understand the characteristics and laws of measles epidemics in Xingning District of Nanning City from 2006 to 2010 and to provide scientific evidence for future prevention and control measures and measures of measles. Methods Based on the CDIS and measles epidemiology questionnaire, a descriptive epidemiological analysis was conducted on the incidence of measles in Xingning District of Nanning from 2006 to 2010. Results 240 cases of measles were reported in Xingning District of Nanning City from 2006 to 2010. The cases were characterized by sporadic and local outbreaks with an annual average incidence of 1.6 / 100,000. Peak incidence in March-August, mainly to diaspora, the age of onset concentrated <5-year-old age group, of which <8 months and August ~ group accounted for the majority of adult measles also has a certain proportion. Conclusion The combination of universal vaccination and intensive vaccination is an effective means to reduce the incidence of measles. Enforcement of admission vaccination certificate system to ensure that children of older age group are protected from measles infection are the basic ways. Health departments, community organizations and police stations The formation of a long-term plan immunization management mechanism in other departments is an effective exploration to improve the vaccination rate of migrant children. At the same time consider the measles measles early age to 6 months of age and women of childbearing age before childbirth Mazhen vaccine is to reduce the measles in children <8 months of effective measures.