Zhang Qian, Zhang Jian-Tao, Bian Chen
Public Health School of Peking Union Medical College, Beijing 102200, China.
Zhongguo Yi Miao He Mian Yi. 2010 Feb;16(1):15-9.
To analyze the epidemiological characteristics of measles before and after measles attenuated live vaccine (MV) supplementary immunization activities (SIAs) in Changzhou municipal in 2007-2008 and approach measures of measles elimination.
Analyze measles epidemiology and control measures with descriptive epidemiology.
After SIAs in Nov.2007, the reported measles incidence was 24.13/100000, and increased by 91.60% in 2008 than in 2007, except Jintan and Liyang town, the others were higher in 2008 than in 2007. The reported measles incidence of 5-9 years old was lower in 2008 than in 2007. However, the reported measles incidence of other age groups was higher. One incidence peak reached 216.92/100000 was found in < 1 year old group and another peak appeared at aged 20-30 years old group. The proportions of measles cases of 8 months-14 years old in 2007 and 2008 were 53.47% and 54.38%. 7.37% and 4.18% of them received MV respectively. The reported cases in 2008 increased and 68.05% of them were floating population.
Low coverage of MVwas the main cause of high measles incidence. It indicated that a timely and strengthened routine vaccination, a high quality SIA, and well organized floating population management and surveillance are essential strategies to eliminate measles.
分析2007 - 2008年常州市麻疹减毒活疫苗(MV)强化免疫活动前后麻疹流行病学特征,探讨消除麻疹的措施。
采用描述流行病学方法分析麻疹流行病学及防控措施。
2007年11月强化免疫活动后,报告麻疹发病率为24.13/10万,2008年较2007年上升91.60%,除金坛和溧阳外,其他地区2008年发病率高于2007年。2008年5 - 9岁组报告麻疹发病率低于2007年,其他年龄组报告麻疹发病率较高。<1岁组出现一个发病率高峰达216.92/10万,20 - 30岁组出现另一个高峰。2007年和2008年8个月 - 14岁麻疹病例占比分别为53.47%和54.38%,其中分别有7.37%和4.18%接种过MV。2008年报告病例数增加,68.05%为流动人口。
MV接种率低是麻疹发病率高的主要原因。表明及时加强常规免疫、高质量的强化免疫活动以及有序管理和监测流动人口是消除麻疹的关键策略。