浙江省2001～2003年麻疹流行病学分析

目的　了解浙江省麻疹流行病学特征 ,探讨加速控制麻疹的策略。方法　对 2 0 0 1～ 2 0 0 3年麻疹发病情况进行描述性流行病学分析。结果　浙江省 2 0 0 1～ 2 0 0 3年麻疹年平均发病率高于 1 998～ 2 0 0 0年。病例分布广泛 ,散发和局部爆发并存 ,个别高发县影响全省麻疹发病水平。 3～ 6月为麻疹高发季节 ,≤ 2岁和 6～ 8岁为麻疹高发年龄组。对麻疹病例的免疫史分析表明 ,<1 5岁的病例 2 9.8%未接种麻疹疫苗 (MV) ,2 9 .9%免疫史不详。结论　根据报告病例的年龄和免疫史状况表明 ,MV的常规免疫仍需加强 ,同时要考虑对大年龄组人群接种MV ,继续加强麻疹监测

Analysis of Measles Epidemiology in Zhejiang Province During 2001-2003

Objective The data of measles reported by the measles surveillance system in Zhejiang Province. Methods From January,2001 to December,2003,the data of measles were analyzed to direct the measles control in the futrue. Results The results showed that the average measles incidence rate in 2001-2003 was higher than that of 1998-2000.Both the sporadic and epidemic measles in some districts existed at the same time and the reported measles cases extensively distributed in all districts of Zhejiang Province. The measles in some districts had affected the measles morbidity of the whole Province. The prevalent season was from March to June,the incidence of measles between 0-2 years old and between 6-8 years old groups were higher than that of the other age groups. Conclusion We concluded that 30% of the total measles cases were not immunized and 30% without vaccination records through analyzing the measles cases vaccination history.The age distribution and vaccination status of measles cases remind that the routine immunization service should be strengthened,at the same time the measles campaign should be implemented to adult. In addition,prefecting measles surveillance system must be taken.