兰州市2004-2012年流行性腮腺炎的流行状况分析

发布时间：2018-05-19 04:47

本文选题：流行性腮腺炎 + 流行病学　；参考：《兰州大学》2014年硕士论文

【摘要】：目的：了解兰州市流行性腮腺炎疫情流行病学特征和流行规律,探索暴发疫情发生原因及控制方法,发现兰州市流行性腮腺炎防控中存在的问题,为今后政府制定相关疾病的预防控制策略提供科学依据。方法：①运用描述性流行病学方法对兰州市2004～2012年流行性腮腺炎监测资料和突发事件资料进行描述分析；②运用报告接种率和调查接种率对MCVS的预防接种情况进行评价。结果：对兰州市2004～2012年流行性腮腺炎发病数据进行分析,发现①地、兰市流行性腮腺炎发病季节性特征不明显；城市报告发病数高于农村,城乡报告发病数比为2.13：1；15岁病例数9204例,占总病例数的83.97%；职业分布以学生为主,占总病例数的69.28%。②兰州市流行性腮腺炎突发事件共报告33起1080例,所有事件发生全部为校园事件,尤以农村小学为主,累计报告25起906例,占总报告起数的75.76%；发病时间与各学校放寒暑假时间一致；突发报告地区城关区最高累计报告14起498例,占总报告起数的42.42%。③兰州市2010～2012年MCVS报告接种率分别为99.48%、99.83%和99.47%；适龄儿童调查接种率分别为,2岁组93.94%,3岁组79.96%。结论：近年来兰州市流行性腮腺炎发病呈逐年升高,针对适龄儿童调查接种率不高和高危人群存在大量免疫空白的现状,我们不但要加强适龄儿童MCVS常规免疫,而且要进一步探索高危人群的免疫策略和农村小学的疫情控制工作,以此达到控制兰州市流行性腮腺炎发病和流行的目的。
[Abstract]:Objective: to understand the epidemiological characteristics and epidemic law of epidemic situation of mumps in Lanzhou, explore the causes and control methods of the outbreak, and find out the existing problems in prevention and control of epidemic mumps in Lanzhou. To provide the scientific basis for the government to formulate the prevention and control strategy of related diseases in the future. Methods using descriptive epidemiological method, the surveillance data and emergency data of epidemic parotitis in Lanzhou from 2004 to 2012 were analyzed. The reported and investigated vaccination rates were used to evaluate the vaccination status of MCVS. Results: the data of epidemic mumps in Lanzhou from 2004 to 2012 were analyzed. The results showed that the seasonal characteristics of epidemic mumps were not obvious in one place, the reported incidence in urban was higher than that in rural areas, and the reported incidence ratio in urban and rural areas was 2.13: 1. 9204 cases aged 15 years old were reported in urban and rural areas. The occupational distribution was mainly students and 69.28.2 there were 33 cases of mumps emergency reported in Lanzhou, all of which were campus events, especially in rural primary schools. A total of 25 906 cases were reported, accounting for 75.76% of the total number of reports; the onset time was the same as the time of winter and summer vacation in various schools; and the highest accumulative total of 14 cases of 498 cases were reported in the Chengguan District, the area where the emergency report was made. The reported coverage rates of MCVS in Lanzhou from 2010 to 2012 were 99.48% and 99.47%, respectively, and the coverage rates of children of school age were 93.943% and 79.96%, respectively. Conclusion: in recent years, the incidence of mumps in Lanzhou City has been increasing year by year. In view of the fact that the vaccination rate of children of school age is not high and there are a large number of immune gaps in high risk groups, we should not only strengthen the routine immunization of MCVS in children of right age. In order to control the incidence and prevalence of mumps in Lanzhou City, we should further explore the immunization strategy of high risk population and the epidemic control work in rural primary schools.
【学位授予单位】：兰州大学
【学位级别】：硕士
【学位授予年份】：2014
【分类号】：R512.1

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