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为客观评价安庆市麻疹监测系统 (MMS)现状 ,对 1998年以来MMS运转状况进行了分析。 1998～ 2 0 0 2年 ,全市共报告麻疹疑似病例 14 86例 ,采集血清标本 115 4份 ;麻疹IgM抗体阳性 5 16例。血清标本采集率和麻疹IgM抗体阳性率分别由 1998年的 71 0 5 %和 2 2 2 2 %上升到 2 0 0 2年的 87 94 %和 5 5 2 7%。通过加强基层卫生人员麻疹监测的培训 ,对麻疹监测工作开展经常性督导和主动搜索 ,MMS的敏感性和及时性得到了明显的改善。2 0 0 2年与 2 0 0 1年相比 ,血清标本采集率由 6 7 5 7%上升到 87 94 % ;标本运送及时率由 70 5 4 %上升到 84 5 9% ;实验室结果及时反馈率由 38 5 1%上升到 4 7 0 1% ;麻疹IgM抗体阳性率由 4 1 2 9%上升到 5 5 2 7% ;实验室确诊病例由 38 0 7%上升到 6 7 97%。 2 0 0 1～ 2 0 0 2年共有 13起麻疹爆发 ,病例 2 32例 ,学龄儿童病例占 6 6 38%。分析麻疹病例的免疫史 ,说明安庆市的常规免疫工作仍存在一些问题 ,要着重提高麻疹疫苗接种的及时性和接种质量 ,抓好接种资料的管理。针对MMS存在的病例漏报、迟报、误报问题 ,要通过增加人员培训和加强管理来解决。
In order to objectively evaluate the current situation of Anqing measles monitoring system (MMS), the status of MMS operation since 1998 was analyzed. From 1998 to 2002, a total of 1486 suspected cases of measles were reported in the city, and 115 4 serum samples were collected. A total of 5,16 cases of measles IgM antibodies were detected. The positive rate of serum sample collection and measles IgM antibody increased from 71 0% and 22 22% in 1998 to 87 94% and 5 5 2 7% in 2002 respectively. By strengthening the training of measles surveillance of grassroots health personnel, frequent monitoring and active search of measles monitoring work have significantly improved the sensitivity and timeliness of MMS. Compared with 2001, the collection rate of serum samples increased from 67.57% to 87.94%, the timely delivery rate of samples increased from 70.54% to 84.59%, and the laboratory results were timely The rate of feedback increased from 38 5 1% to 4 70 1%. The positive rate of measles IgM antibody increased from 4 1 29% to 5 5 2 7%. The laboratory confirmed cases increased from 38 0 7% to 6 7 97%. Thirteen measles outbreaks were reported between 2001 and 2002, with 3232 cases and 6388% of school-age children. Analysis of immunization history of measles cases, indicating that the routine immunization Anqing City, there are still some problems, we must focus on improving measles vaccination timely and vaccination quality, do a good job vaccination management. The case of omissions, delays, false positives for the existence of MMS, to be solved by increasing personnel training and strengthening management.