2002～2006年滁州市麻疹监测系统运行效果评价

目的了解滁州市麻疹流行病学特征，评价麻疹监测系统运转情况，为进一步促进麻疹控制工作提供依据。方法收集滁州市麻疹监测系统上报的个案资料，统计、分析麻疹流行特征，并评价麻疹监测系统运行效果和防控措施。结果2002～2006年5年间麻疹平均发病率为2.65／10万。2006年麻疹发病率由2005年的7.59／10万降至1.77／10万，低于5年间平均发病率。麻疹的发病高峰正常年份在3～6月份。暴发流行年出现3～7月份、10～12月份两个高峰，分别占当年病例总数的56．00％、40.60％。574例病例中有免疫史的占21．08％，免疫史不详的占60．10％。小于8月龄儿童麻疹病例占5.05％。32例8月龄～1周岁的病例中无免疫史占68.75％。结论及时有效接种MV，提高麻疹监测质量，是加速控制麻疹的关键。现行的麻疹疫苗初始免疫程序有必要进行调整。

Evaluation of Measles Surveillance System in Chuzhou City in 2002-2006

Objective To understand epidemiological characteristics of measles and evaluate the effect of measles surveillance systems(MSS) in Chuzhou and provide the basis for measles control.Methods By investigating the measles cases which were reported from MSS and testing the measles, rubella IgM antibody,we analyzed and evaluated performance of MSS and the control measures of measles.Results Annual average incidence was 2.65/100,000 in 2002~2006.The incidence of measles decreased from 7.59/10,0000 in 2005 to 1.77/10,0000 in 2006.The peak time of the measles incidence was from March to June.Two peaks could be observed in March-July and October-December which accounted for 56%,40% of the total cases respectively in the year with higher measles incidence.Of the 574 cases,those vaccinated measles vaccine accounted for 21.08% and those with unkown immunity history accounted for 60%.Infant cases under 8 months old accounted for 5%.Among 32 cases which aged 8~12 month old,68% cases had not immunization history.Conclusion Iimely and effectiveely voccinating with mv was the basis in measles control.Strengthening the measles surveillance and improving the quality are the key measure to accelerate measles control.