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[德国麻疹:流行病学分析与初步防控措施]

[Measles in Germany: An Epidemiological Analysis and First Measures for Containment].

作者信息

Matysiak-Klose Dorothea, Wicker Sabine

出版信息

Dtsch Med Wochenschr. 2017 Nov;142(23):1767-1772. doi: 10.1055/s-0043-117973. Epub 2017 Nov 16.

Abstract

Measles are one of the most contagious diseases of mankind. Measles incidence has declined worldwide since the introduction of vaccinations. Due to low numbers of measles cases in countries with high vaccination rates the population is not aware of possible complications of measles any more. Measles elimination is an important goal set by all regions of the World Health Organization. However, it remains a challenge for Germany and other European countries. Because of a high proportion of susceptibles in specific population and age groups outbreaks take place in Germany every year after importation of the virus. More than 50 % of measles cases are 20 years and older. However, the highest incidences have been seen in two-year-olds since several years. In addition to epidemiological findings such as case numbers and risk groups, genotyping permits e. g. an assessment of the endemic circulation of viruses. Suspicion of a measles case should result in immediate and consistent measures.

摘要

麻疹是人类传染性最强的疾病之一。自接种疫苗以来,全球麻疹发病率有所下降。由于疫苗接种率高的国家麻疹病例数量较少,人们不再意识到麻疹可能引发的并发症。消除麻疹是世界卫生组织所有区域设定的一个重要目标。然而,这对德国和其他欧洲国家来说仍是一项挑战。由于特定人群和年龄组中易感人群比例较高,德国每年在病毒输入后都会发生疫情。超过50%的麻疹病例年龄在20岁及以上。然而,近年来两岁儿童的发病率最高。除了病例数和风险群体等流行病学调查结果外,基因分型还可以例如评估病毒的地方性传播情况。怀疑为麻疹病例应立即采取一致措施。

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