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[目的]分析巩义市2005～2007年麻疹流行病学特征,为进一步控制麻疹发病、降低其发病率提供科学依据。[方法]对巩义市2005～2007年全国法定传染病报告系统及麻疹专报系统的麻疹病例进行描述流行病学分析。[结果]2006年麻疹发病率较低为1.74/10万,2005年麻疹发病率为14.2/10万,2007年麻疹发病率为16.12/10万,均超过河南省平均发病水平,最高达1倍。巩义东西中部近几年发病率一直处于较高水平、发病季节主要在3～6月份、病例主要集中在小年龄组,﹤8月龄占发病总人数的比例高于河南省平均水平;8月龄～1岁占发病总人数的比例在12.3%左右,无免疫史和免疫史不详的病例占总病例的75.09%,流动人口占发病总人口的8.17%,主要集中在市区及城郊。[结论]应试行新婚夫妇查验接种证制度,查漏补种,减少成人和8月龄以下婴儿的发病率;当周边及本地区麻疹发病明显上升时,政府应落实基层疾控人员的工资待遇,投入专项经费保证人群普查普种工作顺利开展,控制疫情蔓延。
[Objective] To analyze the epidemiological characteristics of measles from 2005 to 2007 in Gongyi City and provide a scientific basis for further controlling the incidence and reducing the incidence of measles. [Methods] The epidemiological analysis of measles cases in Gongyi City from 2005 to 2007 was conducted on the national legal infectious disease reporting system and measles reporting system. [Results] The incidence of measles in 2006 was 1.74 / 100 000, the incidence of measles in 2005 was 14.2 / 100 000 and the incidence of measles in 2007 was 16.12 / 100 000, both exceeding the average level of Henan Province and up to 1 time . The incidence of central and western parts of Gongyi in recent years has been at a high level, the onset of the season mainly in 3 to 6 months, the cases mainly concentrated in the small age group, <8 months of age accounted for the total number of incidence higher than the average level in Henan Province; August Age ~ 1 year old accounted for about 12.3% of the total number of cases, with no history of immunization and unknown history of immunization accounted for 75.09% of the total cases, the floating population accounted for 8.17% of the total incidence of the population, mainly in urban and suburban areas. [Conclusion] The newly married couple should be tested for the system of vaccination certificates, the leak detection and replanting should be done to reduce the incidence of infants and infants under 8 months of age. When the incidence of measles in the periphery and in the region obviously increases, the government should implement the salary of grassroots CDC members The special funds were put in place to ensure the smooth implementation of the general survey of the general population and to control the spread of the epidemic.