摘要
目的:掌握广州市麻疹的流行病学特征以及麻疹监测系统的运行状况,探讨控制麻疹的策略和措施。方法:对广州市2004年麻疹的发病情况、麻疹疫苗的报告接种率和免疫成功率及人群的免疫水平进行综合分析。结果:广州市麻疹发病呈逐年下降的趋势,监测报告的完整性、及时性和病例调查资料的完整性均达到100%。本地病例以成人为主,外地病例以学龄前为主。全年无麻疹死亡病例报告。在本地342例麻疹病例中,完成全程免疫的91例,占26.61%;未全程免疫史的23例,占6.73%;无免疫史的55例,占16.81%;免疫史不详的165例,占48.25%。外地人口1427例麻疹病例中,完成全程免疫的60例,占4.20%;未全程免疫史的48例,占3.36%;无免疫史的408例,占28.59%;免疫史不详的877例,占61.45%。结论:必须加强对外来人口的管理,提高免疫接种的覆盖率和免疫接种质量,特别是加强外来人口聚集地的幼儿园和学校的麻疹监测及免疫接种工作。
Objective： To find out the epidemic characteristic and running status of surveillance system of measles in Guangzhou. Method： Analysing such indexes as incidence of measles, vaccinal rate of measles bacterin, immune successful rate, immune level of crowd . Results： Incidence of measles drops year after year. The surveillance report and the research datum are integrate and timely. The native cases give priority to adults, and the dominant herd of ecdemic cases is pre-school age enfants. To the 342 native cases of measles, complete course vaccinal rate is 26.61%, part vaccinal rate is 6.73%. There is a lack of vaccinal history in 16.81% cases, and vaccinal history is not clear within 48.25% cases. To the 1427 ecdemic cases of measles, complete course vaccinal rate is 4. 20%, part vaccinal rate is 3.36 %. There is a lack of vaccinal history in 28.59 % cases, and vaccinal history is not clear within 61.45 % cases. Conclusion： It＇s necessary for the kindergarten, schools of the mass of ecdemic population to intensifying management, enhance vaccinal rate and quality, especially potentiate surveillance and immunity inoculability of measles .
出处
《医学动物防制》
2005年第7期494-496,共3页
Journal of Medical Pest Control
