论文部分内容阅读
目的分析甘肃省平凉市消除麻疹工作阶段性成效,探讨下一步防控措施。方法根据中国免疫规划监测信息管理系统和麻疹监测信息报告管理系统的资料,结合健康人群麻疹IgG抗体监测,采用描述流行病学方法分析2006─2013年平凉市麻疹消除情况。结果平凉市共报告麻疹病例552例,年均发病率3.02/10万;每隔3~4年出现一个流行高峰,4~7月为高发季节,具有季节性和周期性特征;整体上仍属小年龄组发病模式,0~4岁婴幼儿和7~8岁学龄儿童形成发病高峰,呈“双峰型”的年龄分布特征;2009年以来健康人群麻疹抗体几何滴度(GMT)维持在较高水平,各年龄组人群麻疹抗体GMT呈现“两头低中间高”的现象。结论落实入托、入学查验预防接种证措施,变被动接种为主动接种,提高全民接种疫苗的自觉性;为小学一年级、高中或大学新生、育龄期妇女等特殊年龄组人群接种麻疹类疫苗,预防儿童和成人麻疹发病;督促医疗机构严格执行预检分诊制度,落实隔离治疗措施,控制院内感染。
Objective To analyze the effectiveness of measles elimination work in Pingliang City, Gansu Province and to explore the next step of prevention and control measures. Methods According to the monitoring information management system of China immunization program and the information management system of measles monitoring information, combined with the monitoring of measles IgG antibody in healthy population, the descriptive epidemiological method was used to analyze the measles elimination in Pingliang City from 2006 to 2013. Results A total of 552 measles cases were reported in Pingliang City, with an average annual incidence of 3.02 / 100 000; a peak of epidemics occurred every 3-4 years and a high season from April to July with seasonal and periodic features; Small age group incidence pattern, 0 to 4-year-old infants and school-age children aged 7-8 years the incidence peak, showing “bimodal” age distribution; measles antibody geometric titers (GMT) in healthy population since 2009 At a high level, GMTs of measles antibodies in all age groups show “low middle high”. Conclusions The implementation of inductrial and inpatient vaccination certificate measures, passive vaccination as the initiative to vaccinate and improve the awareness of universal vaccination; for first-grade, high school or college freshmen, women of childbearing age and other special age group vaccination measles vaccine, prevention Child and adult measles; urged medical institutions to strictly enforce the pre-screening system, the implementation of isolation treatment measures to control nosocomial infections.