摘要目的 探讨济南市麻疹流行病学特征及麻疹疫苗的接种情况.方法 对2010年1月至2015年12月济南市报告麻疹病例、免疫接种等进行描述流行病学分析.结果 6年内济南市共报告麻疹2 086例,年均发病率4.24/10万,2012年发病率为0.07/10万,达到麻疹消除标准.男女年均发病率比较中,男性年均发病率显著高于女性(x2 =4.532,P＜0.05).发病率高峰处于3-5月占总发病的51.97％;年龄段以0-4岁发病率最高,占总发病的46.69％.职业调查中,麻疹发病率以散居儿童最多,占总发病的54.27％.疫苗查漏补种后发病率有显著下降(x2=4.5324.113,P＜0.05).结论 对适龄儿童接种两剂含麻疹成分疫苗,接种应达到高覆盖率,并予以维持;对散居儿童、流动儿童的免疫接种管理应不断加强;做好适龄人群的查漏补种工作,以达到国家麻疹消除水平.

abstractsObjective To investigate the epidemiological characteristics and vaccination status of measles in Jinan.Methods A retrospective analysis was carried out on the measles epidemiological characteristics and vaccination status of patients in Jinan,reported from January 2010 to December 2015.Results Cumulative reporting measles patients in the past 6 years of Jinan were 2 086 cases.The average annual incidence rate was 4.24/100 000,the incidence in 2012 was 0.07/100 000.It reached the standard to eliminate measles.The average annual incidence in males was significantly higher than that in the females (P＜0.05).The peak month was March to May,and the total incidence was 51.97％.The highest incidence of age ranged from 0 to 4 years old,and the incidence was 46.69％.The scattered children had the highest incidence of measles,and the total incidence rate was 54.27％.After the vaccine leak replant check,the incidence significantly decreased (P ＜ 0.05).Conclusions We should try to vaccinate two doses of measles-containing vaccine component for school-age children,achieve and maintain high coverage,continue to strengthen the immunization management for the scattered and migrant children,improve the immunization of school-age population and leak replant so as to achieve the country level of measles elimination.