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曾昭长, 符振旺, 孙莲英, 曾雪霞, 邓海英. 海南省2006年麻疹流行与控制效果分析[J]. 中国公共卫生, 2007, 23(11): 1376-1377. DOI: 10.11847/zgggws2007-23-11-52
引用本文: 曾昭长, 符振旺, 孙莲英, 曾雪霞, 邓海英. 海南省2006年麻疹流行与控制效果分析[J]. 中国公共卫生, 2007, 23(11): 1376-1377. DOI: 10.11847/zgggws2007-23-11-52
ZENG Zhao-chang, FU Zhen-wang, SUN Lian-ying, . Analysis on measles epidemic characteristic and control efficacy in Hainan province in 2006[J]. Chinese Journal of Public Health, 2007, 23(11): 1376-1377. DOI: 10.11847/zgggws2007-23-11-52
Citation: ZENG Zhao-chang, FU Zhen-wang, SUN Lian-ying, . Analysis on measles epidemic characteristic and control efficacy in Hainan province in 2006[J]. Chinese Journal of Public Health, 2007, 23(11): 1376-1377. DOI: 10.11847/zgggws2007-23-11-52

海南省2006年麻疹流行与控制效果分析

Analysis on measles epidemic characteristic and control efficacy in Hainan province in 2006

  • 摘要: 目的了解海南省麻疹流行特征,评估政府启动应急反应机制对控制麻疹疫情的作用和效果,为制定消除麻疹策略提供科学依据。方法通过法定传染病大疫情报告系统收集麻疹疫情资料,应用描述流行病学方法分析麻疹流行特征及控制策略的实施效果。结果海南省2006年麻疹发病763例,发病率为9.2/10万,麻疹发病率较2005年上升了2倍,为近10年最高年份,疫情波及全省95.2%的市县,发病高峰在3~4月。病例以14岁以下儿童为主,占85.6%,无麻疹疫苗(MV)免疫史或免疫史不详者占81.0%,流动人口病例占25.0%。省政府启动应急反应机制后,全省在半个月内完成近200万名8月~14岁儿童的MV强化免疫接种,接种率达95%以上,麻疹发病率迅速下降至前5年平均水平以下,流行期较既往明显缩短。结论易感人群的积累和聚集是导致海南省2006年麻疹流行的主要原因,政府及时启动应急反应机制对迅速控制麻疹疫情起到了重要作用,控制效果显著。

     

    Abstract: ObjectiveTo analyze the measles epidemic characteristic and evaluate the control efficacy after carriying out the public health emergency response systems by the government in Hainan province,and provide the science basis for measles elimination.MethodsThe measles case data was collected from the epidemiological investigation and surveillence report system,adopting the descriptive study to analyze the measles epidemiological characteristic and the efficacy of measles vaccine immunity campaign.Results763 measles cases was reported in 2006,the incidence rate was 912/100 000,triple of 2005,and the highest in the last decade.95.2% of counties had the cases reported,the seasonal peak appeared from March to April.85.6% of the measles cases were under 14 years old.81% without measles vaccine(MV)immunity history or immunity condition were unclear.The constituent ratio of floating people cases was 25%.2 million targets of 8M~I4Y were received.MV immunity protection,the total target's MVcoverage was≥95%,and the measles epidemic situation got to control quickly and effectively.The incidence rate descend to the average level of former 5 years.ConclusionThe accumulation of the herd susceptibility is the main factors of measles epidemic in 2006,it make positive effect for measles control that the government carry out the public health,emergency response system.

     

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