目的了解温州市麻疹的流行病学特点及患病情况,评价麻疹监测系统现状,为制定麻疹防控策略提供依据。方法应用统计学方法对温州市2007～2009年麻疹网络实验室检测的血清学标本结果进行分析,从病例发生的人群、时间、地域和性别等方面全面分析温州地区麻疹的病例情况。结果实验室共接收标本1883例,麻疹IgM抗体阳性为1052例,阳性率为55.9%,疑似病例44例。男女发病的阳性率没有差别,但是发病人数构成比男性高于女性。从地区分布来看,麻疹主要分布鹿城、龙湾和瓯海等人群密集且流动性大的地区,1～7岁组及≥15岁占总病例数71.90%。结论温州市麻疹疫情防控形势非常严峻,人口流动和免疫空白人群的积累是麻疹流行的主要原因,其次院内感染也是一个不容忽视的因素。应制定相应的防控措施,加强宣传和提高人群的免疫接种率等方法控制麻疹。 Objective To understand the epidemiological characteristics and prevalence of measles in Wenzhou and to evaluate the status of measles monitoring system in order to provide a basis for formulating measles prevention and control strategies. Methods The serological samples of measles network laboratory in Wenzhou city from 2007 to 2009 were analyzed by using statistical methods. The cases of measles in Wenzhou were comprehensively analyzed from the crowd, time, region and gender of the cases. Results A total of 1883 specimens were received in the laboratory. The positive rate of measles IgM antibody was 1052, the positive rate was 55.9% and the number of suspected cases was 44. There was no difference in the prevalence of male or female onset, but the incidence was higher in males than in females. In terms of geographical distribution, measles mainly distributed in densely populated and highly mobile areas such as Lucheng, Longwan and Ouhai, with the total number of cases aged 1 to 7 years and ≥15 years old accounting for 71.90%. Conclusion The situation of prevention and control of measles epidemic in Wenzhou City is very serious. The main reason for the popularization of measles population is the accumulation of population and immunization blank population. The second nosocomial infection is also a factor that can not be ignored. Corresponding prevention and control measures should be formulated to strengthen the publicity and increase the population’s immunization rate and other methods to control measles.