Special Issue Article
Zhuo Jiatong\r\n
Abstract
Objective: Trying to find the strategy to further control and elimination measles in China. Method: Calculated the measles suspects accumulated in Guangxi from 1995-2004 based on estimate coverage with the provincial birth rate and the reported registered newborn in the EPI system, and the antibody positive rate of measles vaccine in 1999, while analyzing the measles rebounds interval years and its reasons in Guangxi, forming the further control and elimination strategy recommendation for the whole China. Results: Measles rebounds with the interval of 3 years in Guangxi for the 230,000 newborn as suspects every year since the coverage and the antibody positive rate is not high enough of the routine vaccination, and the accumulation of the suspects of 3 years met the newborn cohort of 700,000 a year meanwhile causing the measles bound up in Guangxi. It also can also explain why the measles rebound in 1997, 2001 and 2005 in China, typically with the interval of very 3 years. Conclusion: In order to get the elimination of measles down in China in 2012, the strategies have to be taken including strengthening the routine immunization similarly in Guangxi with the poor performance warning mechanism; identifying the high risk area of outbreak or poor coverage to take mass campaign before the outbreak happen, and making sensitive surveillance from the provincial to township hospital to find out the beginning outbreak and contain it timely.\r\n