摘要
目的:探讨昭通市麻疹流行特性,为制定防控策略提供依据。方法采用描述流行病学方法对昭通市2005~2013年来麻疹流行资料进行分析,并应用病例对照法分析麻疹流行的影响因素。结果2000年以后平均年发病率控制在20/10万左右,2010年发病率降为0.17/10万,但近几年来发病率出现回升,2012年发病率为2.87/10万,2013年为。而近年麻疹出现局部暴发,医院内感染(χ2=5.22,P=0.02)及未能预防接种(χ2=61.6,P<0.001)是发病率增高的其中原因。结论应加免疫规划工作,构建完整的麻疹免疫屏障。
Objective To summarize and analysis Measles epidemic in the last sixty years in Zhaotong and to explore the possible factors causing the rising of epdemics to provide reference for the prevention and control of measles in the future.Methods Col ecting and analyzing data of measles epidemics in the last sixty years in Zhaotong.Results Measles incidence was continuing descend after broke out in the 1970s and it reached into 2883.20/10 000 in 1972.It was control ed about 20/10 000 in 2000s,and fal ed to 0.17/10 000 in 2010.Yet,it is rising again in recent years and the incidence is 2.87/10 000 in 2012.Conclusion The Measles incidence rate has dropped substantial y after1986.The Measles broke up now.Imunization program should be strengthening for building the complete Measles immune barrier.
作者
龙应欢
LONG Ying-huan(Zhaotong Center for Disease Control and Prevention,Zhaotong 657000,Yunnan,China)
