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目的分析河南省2002-2012年麻疹流行病学特征,探讨麻疹防控措施。方法采用描述性流行病学方法对法定传染病报告系统和麻疹监测系统资料进行分析。结果 2002-2012年河南省麻疹年均发病率为5.08/10万;2011年麻疹发病率降至历史最低水平(0.18/10万);1岁以下麻疹病例所占比例明显增加;病例中有免疫史和免疫史不详病例所占比例逐年降低。随着常规免疫加强、强化免疫和查漏补种实施及高质量麻疹监测,麻疹防控取得重大进展。结论小年龄组尤其是1岁以下儿童是麻疹防控的重点。实施规范化接种、努力提高2剂次MCV接种率的同时,加强高质量麻疹监测,是今后全省麻疹防控的重点工作。
Objective To analyze the epidemiological characteristics of measles from 2002 to 2012 in Henan Province and to explore the measles prevention and control measures. Methods Descriptive epidemiological methods were used to analyze the legal infectious disease reporting system and the measles surveillance system data. Results The annual average incidence of measles in Henan Province was 5.08 / 100 000 between 2002 and 2012; the incidence of measles in 2011 dropped to the lowest level ever (0.18 / 100 000); the proportion of measles cases under the age of 1 increased significantly; the cases were immunized The history of history and history of unknown cases of immunization decreased year by year. With routine immunization, intensive immunization, leak detection and replanting, and high-quality measles surveillance, significant progress has been made in measles prevention and control. Conclusion Small-age groups, especially those under 1 year of age, are the main focus of measles prevention and control. Implementation of standardized vaccination, efforts to improve the vaccination rate of two doses of MCV, while strengthening the monitoring of high-quality measles, measles prevention and control in the future is the focus of work.