诸暨麻疹联防区麻疹流行特征研究

吴霆; 徐福根; 陈用琴; 李次白; 任伟奇; 郭承荫; 徐特璋

文章摘要

吴霆,徐福根,陈用琴,李次白,任伟奇,郭承荫,徐特璋.诸暨麻疹联防区麻疹流行特征研究[J].中华流行病学杂志,1984,5(2):68-71

诸暨麻疹联防区麻疹流行特征研究

An Observation on Epidemiological Characteristics of Measles in Zhuji Joint Prevention Area

收稿日期: 出版日期:2021-05-24

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基金项目:

作者	单位
吴霆	浙江省卫生防疫站
徐福根	肖山县卫生防疫站
陈用琴	富阳县卫生防疫站
李次白	杭州市卫生防疫站
任伟奇	义乌县卫生防疫站
郭承荫	诸暨县卫生防疫站
徐特璋	浙江医科大学

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中文摘要:

自1973年9月至1981年8月，以沪₁₉₁液体麻苗为主在诸暨县等十个县市（约750万人）开展麻疹联防工作，结果：1.发病率比未接种麻苗前13年（1954~1967）和开展麻苗接种但未开展联防以前6年（1967~1973）分别下降93.8%和77.9%；2.季节高峰后移约一个月；3.发病向大年龄组（≥15岁）转移；4.血清抗体阳性率高于90%，HI抗体GMT值一直维持在1：10~1：20之间，而麻疹发病率为6/10万的诸暨县则为1：5~1：11。作者认为在目前尚不能消灭麻疹的情况下，如能将麻疹的年平均发病率控制在50~100/10万之间，则人群免疫状态比较理想。

英文摘要:

From september 1973 to August 1981, a measles control campaign was carried among a population of 7.5 million people in Zhuji county and its nine nerghbouring counties and cities.Several live measles vaccines (Chiefly S₁₉₁) of liquid form was being used for mass immunization.The result showed:1) The morbidity of measles decreased by 93.8%as compared with 1954-1967 when measles vaccines had not been available,and by 77.9% as compared with 1967~1973 when the mass-scale prophylaxis had not been carried out,2) The epidemic scason peak delayed for about one month,3) The measles patients age distribution shifted to older age group (≥ 15 years-old,4). The serum positive rate was higher than 90% and the GMT of HI antibody lay in average between 1:10 and 1:20,while in Zhuji county,with a diseased incidence of 6/100,000 the GMT of HI antibody between 1:5 and 1:11.In the author's opinion,if it is not possible to eliminate the measles completely under the present conditions it would be desirable to decrease the incidence down to 50~100/100,000.

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