ABSTRACT
Objective To study the relevant factors on an measles outbreak caused by imported new virus (d11 genotype)from Myanmar and to develop effective strategies and measures.Methods On-site investigation on the outbreak was carried out. Results There were four townships (66%) in Menglian county reported 15 cases of measles, with 7 cases aged 6 months to 5 years old, 2 cases with the history of measles vaccination (MV). Another 8 cases were 21 to 49 year-olds but their histories on immunization were unclear. 14 of the measles cases with Myanmar citizenship came to China for treatment. They were aged 10 months to 13 years old, with only one case had ever received MV vaccination. For all the 29 cases, except for one case who did not adopt the sample case of Myanmar, the remaining 28 patients were positive for measles IgM antibodies. 6 cases of measles virus RNA were detected in the amplified sequence which showed genotype d11, and was considered Myanmar imported wild virus. 184 people received the MV inoculation, with a rate of 61.96% and the serum samples showed a measles IgG antibody positive rate of 87.50%. Manner MV emergency vaccination was carried out timely in that county so the measles outbreak was effectively controlled.Conclusion Imported measles cases from foreign countries might lead to epidemic, indicating the difficulty and challenge in the elimination of measles in our province. Emergent vaccination of MV could interrupt the transmission of the disease. Our experience showed that MV was effective in the prevention of d11 genotypes measles infection in the area.
ABSTRACT
Objective Study on the epidemiological characteristiCS of poliomyelitis virus in Yunnan, from 2003 to 2007.Methods Surveillance data of acute flaccid paralysis(AFP) cases from year 2003 to 2007 was gathered.All the stool specimens were identified to contain polio virus.Results 1171 AFP cases were reported.Out of the total number of 1138 stool specimens from 2003 to 2007,57 cases showed polio virus(5.0%),159 showed NPEV(14.0%),922 cases showed virus negative.In those virus,polio type II took the lead(31.6%).57 AFP cases appeared in 37(28.7%) counties in Yunnan.Most of the cases were under 2 years of age.29 cases had taken more than 3 OFV (oral poliovaccine) dosages and 41 cases had fever before paralysis occurred.Most of the cases appeared paralysis on single lower limb,but 26 cases leaving deformity.Significant difference was found between the two groups:having received vaccination more than 3 OPV dosages or less than 3 dosages.Conclusion High quality AFP epidemiological and labomtory surveillance program,together with OPV routine and supplemental immunization strategy to cover the poorly immunized area/population appeared to be most effective.