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目的分析2012年四川省攀枝花市手足口病的流行特征及主要病原学特点,为防治工作提供科学依据。方法采用描述性研究方法,对疫情报告资料与病原学检测结果进行整理、分析。结果 2012年攀枝花市共报告手足口病948例,报告发病率为77.71/10万,报告死亡3人,病死率为0.32‰。城区发病率高于农村(P<0.01),发病时间集中在5~7月,职业以散居儿童和幼托儿童为主,1~岁至4~岁年龄组发病最多,实验室病毒核酸检测210份,阳性率为73.81%,以EV71型病毒为主,占47.10%。结论 2012年手足口病报告病例数居攀枝花市法定传染病第一位,且首次报告死亡病例和重症病例,已成为危害全市儿童健康的主要传染病之一。
Objective To analyze the epidemiological characteristics and major etiological characteristics of hand, foot and mouth disease in Panzhihua City in 2012 and provide scientific evidence for prevention and control. Methods Using descriptive methods, the data of epidemic situation and the results of pathogen detection were collated and analyzed. Results A total of 948 hand-foot-mouth disease cases were reported in Panzhihua City in 2012, with a reported incidence of 77.71 / 100 000 and reported 3 deaths with a case fatality rate of 0.32 ‰. The prevalence rate in urban area was higher than that in rural areas (P <0.01), and the onset time was concentrated in May to July. The occupations were mainly scattered children and preschool children, with the highest incidence in 1 ~ 4 years old age group. Laboratory virus nucleic acid detection 210 The positive rate was 73.81%, with EV71 virus accounting for 47.10%. Conclusion The number of hand-foot-mouth disease reported in 2012 ranks the first among legal infectious diseases in Panzhihua City, and the first reported deaths and severe cases have become one of the major infectious diseases that endanger the health of children in the city.