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目的描述江苏省2005~2008年成人麻疹流行病学特征,探讨消除麻疹策略。方法收集江苏省2005~2008年成人麻疹个案资料,并对其发病率及三间分布进行统计分析。结果江苏省2005~2008年成人麻疹年平均发病率为4.49/10万,病例主要集中在苏南地区;25~30岁人群发病最多;主要发病人群为工人、农民和民工。结论无论成人麻疹发病率,还是成人患病构成比,成人麻疹发病已成为麻疹疫情上升的一个重要因素。要达到控制麻疹疫情及消除麻疹的目的,应采取对成人,尤其是20~34岁流动人口接种疫苗的策略。
Objective To describe the epidemiological characteristics of adult measles in Jiangsu Province from 2005 to 2008 and discuss the strategy of eliminating measles. Methods The data of adult measles cases collected from 2005 to 2008 in Jiangsu Province were collected, and their incidence and distribution were statistically analyzed. Results The average annual incidence rate of adult measles in Jiangsu Province from 2005 to 2008 was 4.49 per 100 000. The cases mainly concentrated in southern Jiangsu Province. The incidence was highest among 25-30-year-olds. The main affected population was workers, peasants and migrant workers. Conclusion The incidence of adult measles has become an important factor in the increase of measles epidemic, regardless of the incidence of adult measles or the adult prevalence. In order to control the measles epidemic and eliminate measles, we should adopt a strategy of vaccinating adults, especially those aged 20-34.