摘要
目的分析辽宁省铁岭市2005-2009年麻疹流行病学特征,为制定麻疹控制策略提供科学依据。方法对铁岭市2005-2009年麻疹疫情资料进行描述流行病学分析。结果 2005-2009年,铁岭市共报告麻疹病例581例,年均报告发病率为4.00/10万;平均发病率居前三位的县区是银州区(6.04/10万)、西丰县(5.95/10万)、昌图县(4.14/10万);麻疹发病主要集中在4～6月,病例数为428例,占病例总数的73.67%;病例中≥15岁组比例最大,占61.28%,其他年龄组依次为8月龄～6岁(17.21%)、<8月龄(13.08%)、7～14岁(8.43%);2005年麻疹发病<15岁人群占病例总数的62.92%。然而,2006-2009年,麻疹发病≥15岁人群分别占当年病例总数的76.32%、70.77%、58.62%和58.51%;麻疹发病居前三位的职业分别是农民(26.33%)、散居儿童(25.82%)和学生(12.91%);8月龄～14岁儿童共149例病例,其中有免疫史、无免疫史、免疫史不详的分别占40.27%、26.85%、32.89%。结论以加强常规免疫工作为主的综合性防制措施对降低全市麻疹的发病水平会起到较好的效果。
Objective To understand the epidemiological characteristics of measles in Tieling and to provide evidence for the strategy development of measles prevention and control.Methods The epidemic data of measles were collected in Tieling from 2005-2009.We analyzed the data with descriptive epidemiological method.Results A total of 581 measles cases were reported from 2005 to 2009 with an average annual incidence rate of 4.00/lakh.The highest average annual incidence rates were observed in Yinzhou distrit（6.04/lakh）,Xifeng county（5.95/lakh） and Changtu county（4.14/lakh）.The cases occurred mainly between the seasons of April and June（73.67%）.The residents at age groups over 15 years had the most of cases（61.28%）,followed by the residents at age group of 8 months-6 years（17.21%）,then followed by children younger than 8 months（13.08%） and aged 7-14 years（8.43%）.A proportion of 62.92% measles cases occurred in residents aged younger than 15 years in 2005.However,residents aged over 15 years accounted for 76.32%,70.77%,58.62% and 58.51% of the cases from 2006 to 2009.The populations with most cases were farmers（26.33%）,non-kindergarten children（25.82%） and students（12.91%）.Among 149 cases aged 8 months-6 years,40.27% of the cases confirmed immunization history,26.85% no immunization history and 32.89% unknown.Conclusion We should strengthen measles immunization efforts in the rural areas of Tieling and pay an additional attention to the population aged over 15 years in future.
出处
《中国预防医学杂志》
CAS
2011年第3期263-265,共3页
Chinese Preventive Medicine
关键词
麻疹
流行特征
分析
Measles
Epidemiological characteristic
Analysis
