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目的分析2005-2012年该市麻疹流行病学特征,为探讨麻疹控制措施提供理论依据。方法对该市2005-2012年麻疹发病情况进行描述性流行病学分析。结果该市2005-2012年共报告麻疹病例673例,无死亡病例,年平均发病率为15.17/100万,其中以2009年发病率最高为61.89/100万,以2012年发病率最低为0.36/100万;发病率前3位的县为新泰市、泰山区和东平县,占全市病例数的72.07%;季节性高峰明显,2-5月为高发季节,占总病例数的81.72%;<1岁儿童及19～40岁人群是近阶段麻疹发病主要人群,分别占总病例数的30%、46.36%;<8月龄儿童发病数占16.64%;有明确免疫史病例占总病例数的10.70%。结论落实麻疹疫苗常规免疫、对重点人群开展补充免疫和查漏补种等免疫策略是实现消除麻疹的根本措施;医疗机构医源性感染是造成麻疹播散的最主要隐患。
OBJECTIVE: To analyze the epidemiological characteristics of measles in the city from 2005 to 2012 and to provide a theoretical basis for exploring measles control measures. Methods Descriptive epidemiological analysis of the incidence of measles in the city from 2005 to 2012 was conducted. Results A total of 673 cases of measles were reported in the city from 2005 to 2012, with no deaths and the average annual incidence was 15.17 / 1 million. The highest incidence was 61.89 / 100 million in 2009, the lowest in 2012 was 0.36 / The first three counties were Xintai City, Taishan District and Dongping County, accounting for 72.07% of the total number of cases in the city. The seasonal peak was obvious, with a peak season from February to May, accounting for 81.72% of the total number of cases. <1-year-old children and 19 ~ 40-year-old population is the main stage of the incidence of measles in recent stage, accounting for 30% of the total number of cases, 46.36%; <8 months of age children accounted for 16.64% incidence; clear history of immunization cases accounted for the total number of cases Of 10.70%. Conclusion The implementation of routine immunization of measles vaccine and immunization strategies such as supplementary immunization and leak detection and seed replanting of key populations are the fundamental measures to eliminate measles. The most significant risk of measles dissemination is medical-iatrogenic infection in medical institutions.