Centre d'Epidémiologie et de Santé Publique des Armées, Saint Mandé, France.
J Infect. 2013 Mar;66(3):271-7. doi: 10.1016/j.jinf.2012.11.012. Epub 2012 Nov 28.
Since the start of 2010 there has been a flare-up of measles in France, following on the resurgence observed in 2008. The aim of this study was to present results of the epidemiological surveillance of measles in the French armed forces in metropolitan France and to describe the outbreak that occurred in 2010 and 2011.
Criteria for report were those used for French national compulsory notification. The data, concerning active military personnel, were derived from epidemiological surveillance from 1992 to 2011 for the incidence rates and from notification forms completed in 2010 and 2011 by the military practitioners for the description of characteristics of cases.
Between January 1992 and July 2010, 833 cases of measles were reported. Since 2002, the mean incidence rate had been 1 case p.100,000. A significant increase in incidence was observed in 2010 (10.1 p.100,000) and in 2011 (41.4 p.100,000). Clusters of cases accounted for 72.3% of cases. Rates were much higher among subjects under 30. Only 68.6% of cases had been previously vaccinated with at least one dose of MMR vaccine. The mean vaccine coverage among contacts of cases was approximated to 54.3%.
The outbreak of measles observed in 2010 and 2011 in the French armed forces followed the same pattern as that observed nationally and at European level, and can be seen as the likely consequence of inadequate vaccination coverage.
自 2010 年初以来，法国麻疹疫情有所爆发，此前 2008 年也曾出现过疫情反弹。本研究旨在介绍法国本土武装部队中法国麻疹的流行病学监测结果，并描述 2010 年和 2011 年的疫情爆发情况。
报告标准采用法国国家强制报告标准。1992 年至 2011 年期间，现役军人的相关数据来源于流行病学监测，发病率数据来源于 2010 年和 2011 年军事从业人员填写的疫情描述表。
1992 年 1 月至 2010 年 7 月，共报告了 833 例麻疹病例。自 2002 年以来，平均发病率为每 10 万人中有 1 例。2010 年（发病率为 10.1/10 万）和 2011 年（发病率为 41.4/10 万）发病率显著上升。疫情爆发中，有 72.3%的病例是聚集性病例。30 岁以下人群的发病率更高。只有 68.6%的病例之前至少接种过一剂麻疹、腮腺炎、风疹联合疫苗。病例接触者的疫苗接种率约为 54.3%。
2010 年和 2011 年法国武装部队爆发的麻疹疫情与全国和欧洲水平的疫情模式相同，可能是疫苗接种率不足所致。
