常德市2007-2009年麻疹实验室确诊病例检测结果分析

目的了解常德市2007-2009年麻疹、风疹血清学监测的状况和流行病学特点,为如期实现消除麻疹的目标,促进免疫规划工作发展提供科学依据。方法对常德市2007-2009年疑似麻疹病例的流行病学和实验室血清学检测结果进行分析。结果 2007-2009年共检测麻疹疑似病例标本1057份,其中麻疹IgM阳性360份,阳性率为34.1%。各区（县、市）均有疑似病例送检,发病高峰在每年的3-6月份。麻疹发病人群主要集中在1～5岁儿童。结论未免疫和不全程免疫是麻疹发病的主要原因,控制麻疹关键在于做好麻疹的免疫接种工作和加强疫情监测,提高实验室诊断率,及时控制麻疹局部暴发疫情。

Detection Results of Laboratory-confirmed Measles Cases in Changde from 2007 to 2009

Objective To know the situation and epidemiological features of measles and rubella serology in Changde from 2007 to 2009,to provide a scientific basis for achieving the goal of elimination of measles on schedule and promoting the development of expanded program on immunization（EPI）.Methods The epidemiological features and laboratory test results of suspected measles cases in Changde during the period of 2007～2009 were analyzed.Results Totally 1,057 samples of suspected measles cases were detected during the period of 2007～2009,of which 360 were positive for measles IgM,with the positive rate of 34.1%.The suspected measles cases were inspected in different districts（counties and cities）.The peak time of measles was from March to June.Measles occurred mainly in children aged 1 to 5 years.Conclusions Non-vaccination and non-full-course vaccination are the main reasons for measles onset.The key to control of measles is the implementation of immunization against measles,the enhancement of disease surveillance,the improvement of laboratory diagnosis,and timely control of local outbreaks of measles.