临沂市1999～2004年麻疹监测与控制分析

目的了解临沂市麻疹流行病学特征和麻疹监测系统运转状况。方法对1999~2004年麻疹监测和预防接种资料进行分析、评价。结果临沂市1999~2004年共报告疑似麻疹1 010例,较法定传染病报告系统(883例)多14.38%,其中诊断麻疹804例。麻疹发病有明显春末夏初季节高峰。疑似麻疹病例的及时报告、及时调查、合格血清标本采集率分别为96.42%、90.56%、44.16%。1999~2004年麻疹减毒活疫苗(MV)常规免疫、强化免疫的报告接种率均>90%。结论接种MV是控制麻疹的基础,适时开展MV强化免疫,消除免疫空白,提高麻疹监测质量,是加速控制麻疹的关键。

Analysis on Measles Control and Surveillance in Linyi City From 1999 - 2004

Objective To know the epidemiological characteristics of measles and the current status of Measles Surveillance System(MSS).Mechods We analyzed and evaluated the data of measles surveillance and measles vaccine immunization in 19992004. Results (1 010) suspected cases were reported by MSS from 19992004,higher than 883 reported cases from national Notified Disease Reporting System.804 were confirmed cases.The incidence peak of measles remained in late Spring and early Summer.The measles timely reporting rate,timely investigating rate and qualified serum sample collection rate are 96.42%,90.56% and 44.16%.During 1999-2004,(1 862 342) doses were vaccinated in routine and annually reported coverage was above 90%.Additionally MV supplementary immunization were conducted and vaccinated 4 times,(3 877 096) person received immunization. Conclusion MV immunization correctly is the key point in measles control.Strengthening the measles surveillance and improving the quality are the key measures to accelerate measles control.In addition,the rate of rubella vaccine coverage should be increaced.