一起输入性麻疹暴发疫情对麻疹防控策略的启示

发布时间：2018-02-26 16:45

本文关键词： 流动人口麻疹暴发　出处：《现代预防医学》2014年24期 　论文类型：期刊论文

【摘要】：目的通过对一起输入性麻疹暴发疫情的调查结果分析,探讨如何适时调整本地麻疹防控策略。方法采集所有疑似病例血清,检测麻疹Ig M抗体;采用统一的调查表对确诊病例进行现场流行病学调查和描述性分析。结果该起输入性麻疹暴发疫情引起了本地二代、三代病例传播。共发病6例,4例输入病例来自云南,2例为本地病例,所有病例麻疹疫苗接种史不详。本次疫情持续42 d,病毒分离为缅甸果敢地区D9基因型。结论劳务输入增加麻疹发病风险,应加强流动人口管理,开展麻疹疫苗查漏补种;本市常住人口麻疹免疫屏障存在薄弱环节,应进一步开展免疫现状研究,必要时进行查漏补种;医务人员发病风险较高,建议开展麻疹疫苗查漏补种。
[Abstract]:Objective to analyze the results of an imported measles outbreak and to discuss how to adjust the local measles prevention and control strategy in time. Methods all suspected measles sera were collected and measles IgG antibody was detected. A unified questionnaire was used to conduct field epidemiological investigation and descriptive analysis of confirmed cases. Results the imported measles outbreak caused the local second generation. A total of 6 cases and 4 cases were imported from Yunnan Province. 2 cases were local cases. The history of measles vaccination in all cases was unknown. The virus was isolated as D9 genotype in Kuokang area of Myanmar for 42 days. Conclusion Labor importation increases the risk of measles incidence, so we should strengthen the management of floating population and carry out measles vaccine inspection and replacement. There are weak links in measles immune barrier of resident population in this city, so we should carry out further research on immunization status and carry out leakage and replacement vaccination if necessary; the risk of occurrence of measles vaccine is high among medical workers, so it is suggested to carry out measles vaccine screening and replacement.
【作者单位】：烟台市疾病预防控制中心;
【基金】：国家“十二五”科技重大专项病毒性传染病病原谱流行规律及变异研究(2013ZX10004202)
【分类号】：R181.8

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