Czarkowski Mirosław P, Kondej Barbara, Paweł Stefanoff
Zakład Epidemiologii Pańistwowego Zakładu Higieny, Warszawa.
Przegl Epidemiol. 2006;60(3):383-8.
In Poland 11 measles cases were registered in 2004 (0.03 per 100,000 population), of which 3 were cases imported from Chechnya. Of 8 local cases, 3 cases occurred in unvaccinated persons, 2 in persons vaccinated with one dose and 3 in vaccinated with two doses of measles vaccine (administered at the age of 13-15 months and 7 years). The most affected age groups were 1-year old children (0.29 per 100,000 population) and 6-year olds (0.25). Out of 11 reported cases 2 were hospitalized. There were no deaths attributed to measles. Poland participates in the WHO Measles Elimination Strategy. Presently, the most important is the maintenance of a sensitive and timely surveillance of measles and measles-compatible cases, with serologic testing of one suspect case per 100,000 population. The performance of the surveillance system was insufficient with only 44 measles-compatible cases reported in 2004 (12% of expected reports). Serologic confirmation of cases was also insufficient, with 5 cases confirmed in WHO accredited laboratory. These results indicate the need to maintain the high immunisation coverage and improve measles surveillance system.
2004年波兰登记了11例麻疹病例（每10万人中有0.03例），其中3例是从车臣输入的。在8例本地病例中，3例发生在未接种疫苗的人群中，2例发生在接种过一剂疫苗的人群中，3例发生在接种过两剂麻疹疫苗（分别在13至15个月龄和7岁时接种）的人群中。受影响最严重的年龄组是1岁儿童（每10万人中有0.29例）和6岁儿童（每10万人中有0.25例）。在报告的11例病例中，2例住院治疗。没有麻疹致死病例。波兰参与了世界卫生组织的消除麻疹战略。目前，最重要的是维持对麻疹及与麻疹症状相似病例的敏感且及时的监测，每10万人中对一例疑似病例进行血清学检测。监测系统的表现并不理想，2004年仅报告了44例与麻疹症状相似的病例（为预期报告数量的12%）。病例的血清学确诊情况也不理想，在世卫组织认可的实验室中仅确诊了5例。这些结果表明需要维持高免疫覆盖率并改善麻疹监测系统。
