为了解德州市麻疹流行病学特点和麻疹监测系统运行状况 ,对 1999～ 2 0 0 2年麻疹监测的数据进行了分析。结果显示 :4年共报告麻疹疑似病例 2 6 4例 ,比常规传染病报告系统多出 138% ,确诊麻疹 12 3例 ,及时报告、及时调查和血清标本采集率分别达到 10 0 %、10 0 %、99%。麻疹发病呈散发和爆发并存的流行病学模式 ,爆发病例占总发病数的 5 1%。麻疹散发以学龄前儿童和成年人为主 ,爆发病例以学龄儿童为主。确诊病例中有麻疹疫苗 (MV)免疫史者占 32 5 2 % ,无免疫史者占 19 5 1% ,免疫史不详者占 4 7 97%。 3年麻疹监测报告的及时性、完整性和病例调查的完整性均达到 10 0 %。发病主要原因是MV接种率低和免疫失败。应在提高常规免疫接种率和接种质量的同时 ,要抓好大年龄儿童的MV强化免疫 ,进一步提高人群的免疫水平 ,预防控制麻疹爆发。 To understand the epidemiological characteristics of measles and the operation status of measles monitoring system in Dezhou, the data of measles monitoring from 1999 to 2002 were analyzed. The results showed that a total of 264 cases of suspected measles were reported in 4 years, 138% more than the conventional infectious disease reporting system, 123 cases were confirmed, timely reporting, timely investigation and serum sample collection rate reached 10%, 100 %, 99%. The incidence of measles was an epidemiological pattern of the coexistence of eruptions and outbreaks, accounting for 51.1% of the total number of outbreaks. Measles was mainly distributed in preschool children and adults, and the majority of cases were school-aged children. Among the confirmed cases, 32 5 2% had immunization history of measles vaccine (MV), 19 5 1% had no history of immunization, and 4 7 97% had unknown history of immunization. The timeliness, completeness and completeness of the 3-year measles surveillance report reached 100%. The main reason is the incidence of MV vaccination rate and immune failure. Should improve routine immunization coverage and quality of vaccination at the same time, we should grasp the MV of large children’s immune enhancement, to further enhance the population’s immune level, prevention and control of measles outbreak.