上海市宝山区2004～2008年麻疹流行病学分析

目的 分析宝山区2004～2008年麻疹发病情况,为麻疹消除策略和措施的制定提供依据.方法 利用疾病监测信息报告系统的数据,对2004～2008年宝山区麻疹病例进行流行病学分析.结果 宝山区2004～2008年共报告麻疹疑似病例621例,确诊443例,年发病率最高13.01/10万,最低2.06/10万,明显高于往年.病例以15～35岁人群为主,时间相对集中于13～24周,发生暴发疫情共12起,呈局灶性暴发.麻疹疫苗免疫后,抗体阳性率为96.46％.健康人群麻疹抗体水平监测,阳性率为88.92％.结论 麻疹发病人群逐渐向大年龄人群转移,病例以外来流动人口为主,要达到消除麻疹目标,应加强儿童(特别是外来流动儿童)麻疹疫苗接种覆盖率和及时率,并提高成人麻疹疫苗的接种覆盖率.

Epidemiological analysis on measles in Baoshan District of Shanghai during 2004-2008

OBJECTIVE To analyze the incidence of measles in Baoshan District during 2004-2008,to guide control strategy and provide the basis to achieve measles elimination goals.METHODS Used data from disease surveillance and reporting system to analyze epidemiological characteristics of measles cases in Baoshan district during 2004-2008.RESULTS There were 621 patients reported as suspected cases of measles,and 443 as diagnosed cases during 2004-2008.The highest incidence was 13.01 per 100 thousand,the lowest incidence was 2.06 per 100 thousand,higher than the previous years significantly.Cases were mainly young adults of 15-35 years age.Onset time was relatively concentrated in 13rd-24th week.A total of 12 cases of epidemic outbreaks were focal outbreaks.After measles vaccination,the antibody positive rate was 96.46%.Monitoring of measles antibody levels in healthy population,the positive rate was 88.92%.CONCLUSION Measles crowd gradually shift to the large age groups.The floating population become the main cases.To achieve the objective of eliminating measles,children(especially foreign migrant children)should be strengthened measles vaccination coverage and timely rates,adult measles vaccine coverage should be improved.