CAJ | 학술논문

目的了解佛山市顺德区容桂街道实施计划免疫工作后麻疹流行特征,为控制麻疹提供科学依据.方法对佛山市顺德区容桂街道1988-2008年麻疹发病情况进行统计分析. 结果 1988-2008年容桂街道共报告麻疹确诊病例618例,年均发病率8.95/10万,不同年份间麻疹发病率差异有统计学意义(X2=18.975,P<0.001) . 1988-1998年81.97%集中在人口集中的城区,83.61%病例为本地人口.1999-2008年55.83%发病在外来人口聚集的城乡结合部和工业区,76.12%病例为流动人口.春末夏初为高发季节,2005年出现了反常的秋冬季节高发状况.发病人群以8月-7岁龄儿童为主,1999-2008年发病人群开始出现两极发展趋势,8月龄以下婴幼儿和20岁以上成年人病例开始增多,分别占7.91%和13.46%.麻疹疫苗免疫史空白的人群占52.4%.结论容桂地区麻疹发病率出现大幅上升趋势,要采取有力措施提高人群免疫水平,完善计划免疫网络建设,特别是加强流动人口的计划免疫管理工作,减少免疫空白, 是有效控制麻疹的重要措施.
목적 료해불산시순덕구용계가도실시계화면역공작후마진류행특정,위공제 마진제공과학의거.방법 대불산시순덕구용계가도1988-2008년마진발병정황진행통계분석. 결과 1988-2008년용계가도공보고마진학진병례618례,년균발병솔8.95/10만,불동년빈간 마진발병솔차이유통계학의의(X2=18.975,P<0.001) . 1988-1998년81.97%집중재인구집중 적성구,83.61%병례위본지인구.1999-2008년55.83%발병재외래인구취집적성향결합부화 공업구,76.12%병례위류동인구.춘말하초위고발계절,2005년출현료반상적추동계절고발 상황.발병인군이8월-7세령인동위주,1999-2008년발병인군개시출현량겁발전추세,8월 령이하영유인화20세이상성년인병례개시증다,분별점7.91%화13.46%.마진역묘면역사공 백적인군점52.4%.결론 용계지구마진발병솔출현대폭상승추세,요채취유력조시제고인군 면역수평,완선계화면역망락건설,특별시가강류동인구적계화면역관리공작,감소면역공백, 시유효공제마진적중요조시.
Objective To provide scientific evidence for measles control by exploring the epidemiological characteristics of measles after execution of planned immune project in Ronggui community of Shunde.Methods Measles outbreak between 1988 and 2008 in Ronggui community was statistically analyzed.Results 618 cases of measles had been reported between 1988 and 2008,with a mean yearly incidence of 8.95/100,000,and the incidence rate differed significantly among different years (χ2 =18.975,P<0.001).81.97% of the cases developed in the urban with heavy population during 1988 to 1998 and 83.61% of which were local people.During 1999 to 2008,55.83% of the cases occurred in the outskirts and industrial areas with heavy immigrant population and 76.12% of which was outcomers.Late spring and early summer was a period of higher incidence; the incidence was abnormally high in fall and winter of 2005.Measles occurred mainly in children aged 8 months to 7 years.The incidence was 7.91% in the infants aged 8 months or younger and 13.46% in the adults aged 20 or older during the period of 1999 to 2008.Absence of measles vaccination was 52.4% in the population.Conclusions The incidence of measles has an increasing trend in Ronggui community.We should take effective measures to raise the immune level,consummate EPI network construction,and specially strengthen the EPI management in the immigrant population and reduce the immune blank.