清远市2004-2006年麻疹流行病学分析

目的分析清远市麻疹流行规律，制定相应的防治措施。方法对2004--2006年麻疹病例资料进行流行病学分析。结果清远市2004--2006年共报告麻疹病例765例，年均报告发病率为6．81／10万，各年发病率分别为7．69／10万、2．89／10万、10．33／10万；期间共报告18起麻疹暴发疫情，发病数占总发病数的17．39％；病例主要集中在常住和流动人口较多的清城区、清新县、连州市、英德市4个县（县级市、区），占全市发病数的89．15％；3—7月为高发季节，占总发病数的71．63％；发病人群主要是9岁以下的儿童，占总发病数的71．76％；病例中该地户籍占67．45％，外地户籍占29．54％；病例中无免疫史和免疫史不详的占81．57％。结论清远市近年麻疹呈上升趋势，应继续加强常住人口和流动人口的儿童麻疹免疫预防接种工作。

Epidemiological Analysis of Measles in Qingyuan City During 2004-2006

[ Objective] To analysis Epidemic Law of measles in Qingyuan city, and draw up the prevention and control measures. [ Methods ] Epidemiological analysis was made on the data of measles from 2004 to 2006. [ Results ] A total of 765 cases were reported with annual average incidence rate 6. 81/100 000. During 2004 to 2006, annual incidence rate was 7. 69/100 000, 2.89/100 000 and 10. 33/100 000 respectively, 18 outbreaks occurred, accounted for 17. 39% of total cases. Most cases （89.15% ） concentrated in Qingcheng district, Qingxin County, Lianzhou city and Yingde city which have most permanent resident population and floating population. March -uly was the epidemical season for measles, cases during this period accounted for 71.63% of total cases; 71.76% were children under 9-year-old; 67.45 % were local population; 29.54% were floating population; 81.57% were unvaccinated or unknown vaccinated. [ Conclusion] For the rising trend of measles, Vaccination of children among permanent resident population and floating population should be strengthened.