青岛市麻疹流行病学分析与监测状况评价

目的 分析2003年青岛市麻疹流行现况及麻疹监测系统报告资料，获得青岛市麻疹的流行特点并探索麻疹发病的主要影响因素，初步评价青岛市麻疹监测系统运转情况，为改善青岛市麻疹防制和监测工作提供依据。方法 采用酶联免疫吸附试验(ELISA)检测IgM和IgG抗体。结果 青岛市2003年各区市麻疹发病以散发为主，麻疹病例相对集中的4个地区分别是位于城乡结合部的黄岛区、崂山区、李沧区和城阳区，麻疹病例占总数的66．67％，发病高峰主要为3、4月，病例多集中于15-24岁年龄段人群。结论 青岛市麻疹发病以成人为主，城乡结合部发病较集中，其中拥挤程度和人员流动性是影响青岛市麻疹发病的主要因素。今后青岛市麻疹的防制和监测工作重点应进行相应的调整，加强对成年麻疹发病的免疫干预，并进一步完善监测样本采集和流调信息的完整。

Analysis of Epidemiology for Measles in QingDao

Objective We analyzed the measles incidence and evaluated measles surveillance system in QingDao in 2003,in order to acquire the most important affecting factors and the characters of measles and direct the work of the measles control.Result The cases of measles in QingDao in 2003 were primary emanatory,which were relatively focused in 4 areas near city town,Huangdao,Laoshan,Licang,Chengyang,accounting for 66.67percent.The disease peak of measles was in March and April.Population between 15 and 24 years of age were largely involved.Conclusion For puite number of adult measles patients were involved and an obvious measles disease focus in city town,the chief factors in fluencing measles incidence were people density and float. The measles prevention and surveillance in QingDao should be strengthened in immunization work on adults and consummating the integrity of surveillance sample collection and epidemiological investigate.