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目的分析周至县2009年麻疹暴发流行特征和控制措施评价,提高疫情控制处理水平。方法疫情资料来自麻疹监测系统,采用ELISA捕捉法检测麻疹IgM抗体,诊断依据《西安市麻疹监测方案》。结果 2009年全县报告麻疹疑似病例61例,其中确诊42例,报告发病率为9.66/10万,散发和暴发并存,发病以<5岁儿童为主。报告病例中有MV全程免疫史仅占19.67%,无免疫史高达70.49%,免疫史不详者1.64%。暴发主要原因是部分地区MV常规免疫不落实、传染源管理不善。结论采取以常规免疫和强化免疫为主的免疫策略可控制暴发,并注意提高监测系统的敏感性和质量。
Objective To analyze the epidemic characteristics and control measures of measles outbreak in Zhouzhi County in 2009 so as to improve the level of epidemic control. Methods The data of the epidemic situation came from the measles monitoring system. Measles IgM antibody was detected by ELISA. The diagnosis was based on the “Measles Surveillance Program in Xi’an”. Results In 2009, 61 suspected cases of measles were reported in the county, of which 42 cases were diagnosed. The reported incidence was 9.66 / 100 000. The distribution and outbreak were coexisting. The incidence was mainly in children <5 years old. Reported cases with MV history of immunization only 19.67%, no history of immunization as high as 70.49%, unknown history of immunization 1.64%. The main reason for the outbreak was that MV immunization was not implemented in some areas and the source of infection was not well managed. Conclusion The immunization strategy based on routine immunization and intensive immunization can control the outbreak and pay attention to improve the sensitivity and quality of monitoring system.