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为加速麻疹控制 ,卫生部以河南省为试点 ,同美国疾病控制与预防中心 (CDC)和世界卫生组织 (WHO)合作 ,在开封、南阳市开展麻疹监测工作。同时其它城市也按有关要求开展麻疹监测工作。一年来的实践表明 ,河南省的麻疹监测系统已经建立 ,并运转良好。 1999年麻疹专报系统报告疑似麻疹病例 185 2例 ,年发病率 2 0 0 / 10万。全省各地均有病例报告 ,并发生了 37起麻疹暴发 ,暴发病例数占病例总数的 2 8 73%。发病主要集中于 4～ 6月 ,占全年病例总数的 5 0 %。 14岁以下儿童发病占 84 88%。首次自麻疹病例中分离出麻疹病毒 ,共分离到 15株。部分市 (地区 )开展了麻疹疫苗初始强化免疫活动 ,有效地降低了麻疹发病率。但麻疹监测系统的监测质量尚待提高 :1999年专报系统报告的病例数低于法定传染病报告系统 ;一些监测指标 ,如报告及时率、病例调查率、标本采集率和实验室检测及时率等都有待提高。
In order to speed up the control of measles, the Ministry of Health, with pilot projects in Henan Province, cooperated with the Centers for Disease Control and Prevention (CDC) and the World Health Organization (WHO) to carry out measles surveillance in Kaifeng and Nanyang. At the same time, other cities also conducted measles surveillance according to the relevant requirements. Practice over the past year shows that the measles surveillance system in Henan Province has been established and is working well. In 1999, measles reporting system reported 185 cases of suspected measles cases with an annual incidence rate of 200,000 / 100,000. There were case reports across the province and 37 outbreaks of measles occurred, accounting for 28.33% of the total number of outbreaks. The incidence mainly concentrated in April to June, accounting for 50% of the total number of cases in the year. The incidence of children under 14 accounted for 84 88%. Measles virus was isolated from measles cases for the first time, and 15 strains were isolated. Some cities (regions) started the initial intensified immunization campaign against measles and effectively reduced the incidence of measles. However, the monitoring quality of measles monitoring system needs to be improved: the number of cases reported by special report system in 1999 is lower than that of the legal infectious disease reporting system; some monitoring indicators such as reporting rate of promptness, case investigation rate, specimen collection rate and laboratory testing promptness rate All have to be improved.