2007～2009年章丘市麻疹流行特征分析

目的]掌握章丘市麻疹流行特征,探讨近期高发原因,更好地控制疫情。方法]对章丘市2007-2009年麻疹疫情资料进行分析。结果]2007-2009年共报告麻疹141例,排除24例,实验室确诊117例,死亡1例。2007-2009年发病率分别为1.39/10万、7.93/10万、2.27/10万（P〈0.01）,平均为3.87/10万。年均发病率,城区为10.04/10万,乡村为3.36/10万（P〈0.01）;男性为4.53/10万,女性为3.21/10万（P〉0.05）;〈1岁为162.97/10万,≥1岁为2.34/10万（P〈0.01）。117例中,2-6月发病的占64.96%,3-11月龄的占40.17%,散居儿童占54.70%,无麻疹疫苗免疫史或免疫史不详的占88.03%。结论]2007-2009年章丘市麻疹疫情有所升高,城区为高发地区,婴儿和散居儿童为高发人群。

Analysis on Epidemiological Characteristics of Measles in Zhangqiu City,2007-2009

Objective] To master measles epidemiological characteristics in Zhangqiu city,find out the cause for the high incidence rate and control it effectively.Methods]Analysis was made on the data from measles surveillance system in Zhangqiu city,2007-2009.Results]141 measles cases were reported during 2007-2009,of which 24 cases were excluded,117 cases were identified in lab and one case died.The morbidity from 2007 to 2009 was 1.39/105,7.93/10^5 and 2.27/10^5 respectively（P〈0.01） and the average morbidity was 3.87/10^5,of which 10.04/10^5 was in urban area and 3.36/105 in rural area（P〈0.01）,4.53/105 for male and 3.21/105 for female P〉0.05）,162.97/105 for children less than one year old and 2.34/105 for children more than one year old（P〈0.01）.In 117 cases,64.96% were from February to June,40.17% were 3-11 month old children,54.70% were scattered children and 88.03% were cases that had no definite measles vaccine immunization.Conclusion]The incidence rate of measles is higher than before during 2007-2009 and the incidence is higher in urban area than that of rural area.The high risk populations are infants and scattered children.