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目的:分析2005-2014年杭州市富阳区麻疹流行病学特征,为预防控制麻疹提供策略依据。方法:对2005-2014年(2012年除外)富阳区麻疹疫情资料进行描述流行病学分析。结果:2005-2014年,富阳区共报告并确诊285例麻疹病例,年平均发病率4.89/10万,2005年、2008年发病较高,分别为10.13/10万、20.05/10万。每年的3-6月为发病高峰,高发地区分布于富春、春江等人口较多乡镇,而发病率较高为春江、环山等流动人口聚集地;年龄小于1周岁和30~39岁年龄段为主。结论:富阳区麻疹发病总体趋势下降,但存在波动性。根据区麻疹疫情流行病学分布特征,为进一步减少发病,建议提高小月龄婴儿麻风疫苗初种的及时性,做好流动人口免疫管理,开展成人应急接种工作,鼓励育龄妇女接种麻疹疫苗。
Objective: To analyze the epidemiological characteristics of measles in Fuyang district of Hangzhou from 2005 to 2014 and provide the basis for prevention and control of measles. Methods: Epidemiological analysis of measles outbreaks in Fuyang District from 2005 to 2014 (except 2012) was conducted. Results: From 2005 to 2014, a total of 285 measles cases were reported and confirmed in Fuyang district, with an average annual incidence rate of 4.89 / 100 000. The incidence rates in 2005 and 2008 were higher at 10.13 / 100 000 and 20.05 / 100 000, respectively. The peak incidence is from March to June each year, and the high incidence areas are located in towns and townships with more population, such as Fuchun and Chunjiang, while the incidence rate is high, such as Chunjiang and Huan-Shan. The age is less than 1 year old and 30-39 years old The main segment. Conclusion: The overall incidence of measles in Fuyang district decreased but fluctuated. According to the epidemiological distribution of measles epidemic area, in order to further reduce the incidence, it is suggested to improve the timeliness of the first vaccination of small-age-age infant leprosy vaccine, to carry out the immunization management of floating population, carry out emergency vaccination work for adults and encourage women of childbearing age to receive measles vaccine.