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目的了解云南省云龙县风疹流行病学特征,为控制风疹提供科学依据。方法利用疾病监测信息报告管理系统和麻疹监测系统资料,分析当地风疹流行病学特征。结果云龙县2008年3～6月报告风疹746例,发病率为363.38/10万,发病集中在3～5月,占90.75%;病例主要分布在旧州、诺邓和宝丰3个乡镇,占96.25%;发病以5～15岁儿童为主,占96.78%,学生人群占97.45%;病例均无免疫史,暴发病例占91.82%,发病呈高度聚集状态。结论本流行病学调查表明,无免疫史人群的积累是风疹发病的主要原因。应加强风疹疫苗常规和应急接种、提高监测工作质量、以减少风疹和先天性风疹综合征发生。
Objective To understand the epidemiological characteristics of rubella in Yunlong County of Yunnan Province and provide a scientific basis for the control of rubella. Methods The epidemiological characteristics of local rubella were analyzed by using the information of disease surveillance information management system and measles surveillance system. Results From March to June 2008, Yunlong County reported 746 rubella cases with an incidence rate of 363.38 / 100 000. The incidence rate ranged from March to May, accounting for 90.75%. The cases were mainly located in the three townships of Old State, Noord-Deng and Baofeng, accounting for 96.25 %; Incidence of children aged 5 to 15 years, accounting for 96.78%, 97.45% of the student population; no case history of immunization, outbreaks accounted for 91.82% cases, the incidence was highly aggregated state. Conclusion The epidemiological survey shows that the accumulation of non-immune history of the crowd is the main cause of the incidence of rubella. Routine and emergency vaccination of rubella vaccine should be strengthened to improve the quality of monitoring work to reduce the occurrence of rubella and congenital rubella syndrome.