浙江省 1999年麻疹监测系统报告 10起麻疹暴发疫情 ,发病 475例 ,无死亡。农村和学校为主要发生地 ;最高罹患率171 6 0‰ ,同时存在城区流动人口聚集地的麻疹暴发 ,但是发病强度偏低 ;发病时间主要分布在 1～ 6月和 10月 ;暴发病例中有明确麻疹疫苗 (MV)接种史的占 13 1% ,无MV接种史的占 2 8 2 % ,MV接种史不详的占 5 8 7% ;<14岁儿童病例数占总病例数的91 1%。对于学校和城区型暴发 ,应急免疫措施效果相对较好。建议在切实提高常规免疫接种率的同时 ,对持续有麻疹暴发和计划免疫工作薄弱地区采取MV的强化免疫 Zhejiang Province measles surveillance system in 1999 reported 10 outbreaks of measles, the incidence of 475 cases, no deaths. Rural areas and schools were the main areas of occurrence; the highest attack rate was 171 6 0 ‰, and at the same time there was an outbreak of measles in urban populated areas, but the incidence was low; the onset time was mainly between January and June and October; in the outbreak cases Clearly measles vaccine immunization history accounted for 13 1%, no MV vaccination history accounted for 2 8 2%, MV vaccination history unknown accounted for 58.7%; <14-year-old children the total number of cases of 91 1% . For schools and urban outbreaks, emergency immunization measures are relatively good. It is recommended that, while effectively increasing the routine immunization rate, intensive immunizations against MVs continue to occur in areas where measles outbreaks and planned immunization work are weak