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目的分析双峰县2006-2010年报告麻疹发病状况相关信息,为消除麻疹工作提供参考。方法描述与分析流行病学。结果偏远、交通不便和人口稠密地区是麻疹的高发区;双峰县麻疹发病主要集中在4-6月;男、女性之比为2.02:1;5-9月龄儿童发病占0岁组的70.95%,1岁组儿童占1～7岁组儿童总数的41.40%;散居儿童是麻疹的高发人群;麻疹病例经实验室确诊少,仅29.85%,本地实验室疑似病例平均阳性检出率为31.67%;麻疹发病与免疫史少于2剂次高度相关(OR=82.63,χ2=387.70,P<0.001)。结论建议初始免疫月龄提前到6月龄,第二针次提前到1～1.5岁;县级要建立合格的麻疹确诊实验室,以降低误诊;工作中要重点注意偏远和人口稠密地区、4-6月的发病高峰、5～9月龄与1岁组的散居儿童,在实施常规免疫的同时,切不可忽视第二、三针次,关键要及时搞好查漏补种,尽量保证适龄儿童有2剂次以上合格麻疹免疫,提高免疫成功率。
Objective To analyze the information about the incidence of measles from 2006 to 2010 in Shuangfeng County and provide references for the elimination of measles. Methods describe and analyze epidemiology. Results remote, traffic inconvenience and densely populated areas is the high incidence of measles; measles incidence in Shuangfeng County is mainly concentrated in April to June; male to female ratio of 2.02: 1; children aged 5 to 9 months of age accounted for 0-year-old group 70.95%, 1 year old group of children accounted for 41.40% of the total number of children aged 1 to 7 years; scattered children is a high incidence of measles; measles cases less confirmed by the laboratory, only 29.85%, local laboratories suspected cases average positive rate was 31.67%. The incidence of measles was highly correlated with the immunization history less than 2 times (OR = 82.63, χ2 = 387.70, P <0.001). Conclusion It is suggested that the initial age of immunization should be advanced to 6 months of age and the second needles be advanced to 1 to 1.5 years old. At the county level, a qualified laboratory for measles diagnosis should be set up to reduce misdiagnosis. In the work, attention should be paid to remote and densely populated areas, 4 - peak incidence in June, 5 to 9 months old and 1 year-old group of children living in the implementation of routine immunization, the second and third needles should not be ignored, the key to timely leak detection and replanting, try to ensure that age Children have more than 2 doses of measles immunity, improve the success rate of immunization.