CAJ | 학술논문

目的分析大连市麻疹暴发疫情流行病学特点,评估暴发疫情处理效果,为调整麻疹防制措施提供科学依据.方法对2014年大连市麻疹暴发疫情开展问卷调查.采用描述流行病学的方法,采用率和构成比对疫情资料进行统计学分析.结果 2014年大连市累计报告麻疹暴发疫情9起,分别发生在医院、企业、小学、家庭和派出所.病例发病时间集中在4-5月,罹患人群以18岁以上成年人为主(63.33％,19/30),成年麻疹病例无免疫接种史或接种史不详.＜18岁患者仅27.27％(3/11)有接种史.结论大连市成年麻疹发病率增加,在做好婴幼儿基础免疫的基础上,应在成年麻疹高危人群中积极推广麻疹疫苗预防接种,在人群中建立有效的免疫屏障.
목적 분석대련시마진폭발역정류행병학특점,평고폭발역정처리효과,위조정마진방제조시제공과학의거.방법 대2014년대련시마진폭발역정개전문권조사.채용묘술류행병학적방법,채용솔화구성비대역정자료진행통계학분석.결과 2014년대련시루계보고마진폭발역정9기,분별발생재의원、기업、소학、가정화파출소.병례발병시간집중재4-5월,리환인군이18세이상성년인위주(63.33％,19/30),성년마진병례무면역접충사혹접충사불상.＜18세환자부27.27％(3/11)유접충사.결론 대련시성년마진발병솔증가,재주호영유인기출면역적기출상,응재성년마진고위인군중적겁추엄마진역묘예방접충,재인군중건립유효적면역병장.
Objective To analyze the epidemiological characteristics of measles outbreak in Dalian city,and to assess the treatment measures effect,so as to provide a scientific basis for adjusting the prevention and control measures.Methods The information of measles outbreaks was analyzed using the descriptive epidemiological methods.Rates and constituent ratios were used for the statistical analysis.Results Nine measles outbreaks were reported in 2014.The outbreaks occurred in hospitals,companies,primary schools,homes and in a police substation.All outbreaks were reported from April to May.Most of the cases were above 18 years old(63.33％,19/30).Adult measles cases had no the history of vaccination or unknown.The vaccination rate was only 27.27％ (3/11) in patients of ＜ 18 years old.Conclusions The incidence of adult measles increased in Dalian City.It is important to promote measles vaccination for high risk groups in adults while maintaining sufficient vaccine coverage for infants,so as to establish an effective immune barrier in the communities.