【摘要】 [目的]了解徐州市麻疹流行病学特征,为制定有效的麻疹控制措施提供依据。[方法]对1983～2004年22年中收集到的麻疹疫情资料进行回顾性分析。[结果]徐州市1983～2004年麻疹发病率呈下降趋势,年均发病率4.81/10万;呈周期性流行,流行周期为4～5年。各县区均有病例分布,城区发病率高于农村;3～5月份为麻疹高发季节,占总病例的62.86%;15岁以下病例占88.55%,5～9岁是高发年龄组;1999～2004年15岁以上麻疹病例构成比较1983～1998年明显上升,分别为17.05%、11.02%;46.74%的患者有免疫史,无免疫史、免疫史不详者各占32.86%、20.40%。[结论]徐州市麻疹仍呈周期性流行。在做好麻疹疫苗常规免疫的基础上,应加强麻疹监测工作,适时开展重点人群麻疹疫苗的强化免疫。更多还原

【Abstract】 [Objective]To learn the epidemiologic features of measles in Xuzhou,to provide evidence for making effective control measures of measles.[Methods]The data about epidemic situation of measles obtained from 1983 to 2004 were given retrospective analysis.[Results]The measles incidence rate in Xuzhou showed a descending tendency from 1983 to 2004,the annual average rate was 4.81/100 000 and the epidemic was periodic,the periodicity was about 4-5 years.Reported cases came from all of districts.Incidence rate in city was higher than that in county.62.86% cases occurred from March to May,so the incidence rate in this season was higher than others.Among the reported cases,88.55% was young whose age was under 15 years,and the incidence rate of 5-9 years age group was higher than others.Compared with the period of 1983-1998,the incidence rate among people aged more than 15 years in 1999-2004 increased,and the incidence rate were 17.05%,11.02% respectively.In reported cases,46.74% cases owned vaccination records,and cases who had no or not clear vaccination records were 17.05% and 11.02% respectively.[Conclusions]The prevalence of measles in Xuzhou is still periodic.At the base of routine immunization services,the measles surveillance should be strengthened,and the measles intensive immunity for key group should be implemented at the proper time.更多还原