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为制定广东省控制和消除麻疹策略提供科学依据 ,对 1999～ 2 0 0 1年全省麻疹监测系统所收到的麻疹疑似病例个案调查表中经临床或血清学诊断的病例进行统计分析。结果 12 187例疑似病例中 ,麻疹 8995例 ,其中临床诊断 44 44例 ,血清学确诊 45 5 1例。病例分布于 2 2个市 ,3年累计发病率较高的有东莞 (9 1/ 10万 )、深圳 (7 9/ 10万 )和广州市 (6 2 / 10万 )。病例以 4岁以下儿童为主 (占 44 9%) ,但珠江三角洲地区 2 0～ 2 9岁所占比例 (2 3 4 %)高于其它地区 (5 7%) ;病例男女性别比例为 1 2∶1;全年各月均有病例发生 ,但以 3～ 7月高发。 3年收到麻疹爆发报告 47起 ,共计 434例 ,主要发生在 3～ 4月。病例中有≥ 2次免疫史者仅占 0 5 %。建议提高麻疹疫苗免疫接种率和接种及时率 ,可在大、中专院校新生入学、新兵入伍和珠江三角洲地区新工人入厂时再接种 1剂麻疹疫苗。
To provide a scientific basis for the development of Guangdong’s strategy of control and elimination of measles, the clinical or serological diagnosis of cases of measles suspected cases received by the province’s measles surveillance system from 1999 to 2001 were statistically analyzed. Results Among the 12 187 suspected cases, 8995 cases of measles were detected, of which 44 44 cases were diagnosed clinically and 45 5 cases were serologically confirmed. The cases were located in 22 cities. The three-year cumulative incidence was higher in Dongguan (91,000), Shenzhen (79,000) and Guangzhou (62,000 / 100,000) respectively. The majority of cases were children under 4 years of age (44.9%). However, the proportion of children aged 20-29 years (23.4%) in the Pearl River Delta was higher than that of other regions (57.7%). The sex ratio of patients was 1 2: 1; all cases occur every month, but in 3 to 7 high incidence. In the past three years, 47 cases of measles eruptions have been reported, a total of 434 cases, mainly occurring from March to April. Cases with ≥ 2 immunization episodes accounted for only 0 5%. Propose to raise measles vaccine immunization rate and inoculation timely rate, can enroll in freshmen in secondary vocational schools, enlisted recruits and new workers in the Pearl River Delta region and then inoculate a measles vaccine.