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顾文珍, 倪红霞, 傅小红, 朱莹莹, 焦素黎, 王蓉, 谢蕾, 许国章. 浙江省宁波市2004-2015年麻疹流行病学和基因型特征分析[J]. 中国公共卫生, 2017, 33(8): 1242-1245. DOI: 10.11847/zgggws2017-33-08-22
引用本文: 顾文珍, 倪红霞, 傅小红, 朱莹莹, 焦素黎, 王蓉, 谢蕾, 许国章. 浙江省宁波市2004-2015年麻疹流行病学和基因型特征分析[J]. 中国公共卫生, 2017, 33(8): 1242-1245. DOI: 10.11847/zgggws2017-33-08-22
GU Wen-zhen, NI Hong-xia, FU Xiao-hong.et al, . Epidemic characteristics of measles and genotype distribution of measles virus in Ningbo municipality,2004-2015[J]. Chinese Journal of Public Health, 2017, 33(8): 1242-1245. DOI: 10.11847/zgggws2017-33-08-22
Citation: GU Wen-zhen, NI Hong-xia, FU Xiao-hong.et al, . Epidemic characteristics of measles and genotype distribution of measles virus in Ningbo municipality,2004-2015[J]. Chinese Journal of Public Health, 2017, 33(8): 1242-1245. DOI: 10.11847/zgggws2017-33-08-22

浙江省宁波市2004-2015年麻疹流行病学和基因型特征分析

Epidemic characteristics of measles and genotype distribution of measles virus in Ningbo municipality,2004-2015

  • 摘要: 目的 了解浙江省宁波市2004-2015年麻疹流行病学特征及野毒株的基因型特征,为制定防控对策提供参考依据。方法 收集宁波市2004年1月-2015年12月麻疹发病监测数据及各县(市、区)报告的麻疹野毒株样本,采用逆转录-聚合酶链反应(RT-PCR)进行扩增,对PCR产物进行序列测定和分析。结果 宁波市2004-2015年麻疹发病率依次为9.93/10万、21.09/10万、2.46/10万、12.73/10万、33.38/10万、4.10/10万、2.41/10万、0.93/10万、6.60/10万、2.11/10万、2.30/10万、2.74/10万,麻疹发病率总体呈下降趋势(χ趋势2=2 743.496,P<0.01);麻疹全年均有发病,以2~5月为发病高峰,病例数占总发病数的66.74%;宁波市11个市(区、县)麻疹均有发病,发病率居于前3位的地区分别为海曙区520例(13.81/10万)、江北区485例(13.33/10万)及江东区450例(12.19/10万);麻疹<8月龄、8月龄~7岁、8~14岁、15~19岁和≥ 20岁病例构成比分别为23.13%、20.89%、4.02%、6.40%和45.56%;宁波市2004-2015年共分离到麻疹野毒株90株,其中11株为B3基因亚型,79株为H1基因型(H1a基因亚型73株,H1b基因亚型6株)。结论 宁波市2004-2015年麻疹发病率总体呈下降趋势;H1a亚型为该地区麻疹优势基因型。

     

    Abstract: Objective To examine epidemic characteristics of measles and genotype distribution of wild strains of measles virus in Ningbo municipality from 2004 to 2015 and to provide evidences for making measles control strategies.Methods Surveillance data on measles epidemic and wild strains of measles virus isolated in Ningbo municipality from January 2004 through 2015 were collected.The nucleoprotein (N) genes of the isolated strains were amplified with reverse transcriptase PCR (RT-PCR) and sequenced for homologous analysis.Results The annual measles morbidity were 9.93,21.09,2.46,12.73,33.38,4.10,2.41,0.93,6.60,2.11,2.30,and 2.74 per 100 000 for the years from 2004 to 2015,respectively,and the morbidity showed a declined trend generally (χtrend2=2743.496,P<0.010).There were measles case reports in every month throughout a year and more measles cases were reported from February to May in a year,accounting for 66.74% of all the reported cases.There were measles case reports in all the 11 counties or districts of Ningbo municipality and the top three administrative regions with higher average annual morbidity were Haishu,Jiangbei,and Jiangdong district,with the total reported measles cases of 520,485,and 450 and the average morbidity rate o f 13.81,13.33,and 12.19 per 100 000 people,respectively.Of all the cases reported,23.13% were the infants less than 8 months old;20.89% were the small children aged 8 mouths to 7 years;4.02% were the children aged 8-14 years;6.40% were the adolescents at the ages of 15-19 years;and 45.56% were persons over 20 years old.Of the 90 wild strains of measles virus isolated during the period,11were B3 genotype,79 were H1 genotype (73 of H1a genotype and 6 of H1b genotype).Conclusion The annual measles morbidity declined generally and the strain of H1a genotype was a predominant wild measles virus in Ningbo municipality from 2004 to 2015.

     

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