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目的了解2011年湖北省十堰市手足口病的流行特征,为制订科学合理的防控措施提供依据。方法对2011年网络直报系统归属本市的232例手足口病病例进行流行病学分析。结果十堰市2011年共报告手足口病病例232例,发病率6.95/10万,其中重症病例10例(4.31%),无死亡病例;发病有明显的季节性,疫情从3月开始上升,5月达到高峰,7月疫情逐渐下降,病例主要集中在4～8月,共报告191例,占全年报告总数的82.33%;发病人数男性147例、女性85例,男女之比为1.73∶1。发病对象主要为<5岁儿童,占发病总数的92.24%。EV71和CoxA16是手足口病的主要病原体,实验室确诊病例中EV71阳性占36.21%、CoxA16阳性占15.52%,其中EV71为优势毒株。结论十堰市手足口病防控形势严峻,手足口病的发生有明显的年龄和季节差异,今后的防控重点应该放在<5岁年龄组儿童。
Objective To understand the epidemiological characteristics of hand-foot-mouth disease in Shiyan City, Hubei Province in 2011, and provide the basis for establishing scientific and reasonable prevention and control measures. Methods Epidemiological analysis of 232 cases of hand, foot and mouth disease which belonged to this network in 2011 was conducted. Results A total of 232 HFMD cases were reported in 2011 in Shiyan City, with a morbidity of 6.95 / 100 000, of which 10 (4.31%) were severe cases without any deaths. The incidence was obviously seasonal and the epidemic increased from March to The peak was in July and the epidemic decreased gradually in July. The cases mainly concentrated in April to August, 191 cases were reported, accounting for 82.33% of the total. The incidence of males was 147 and females 85, the ratio of male to female was 1.73: 1 . The main target for the incidence of <5-year-old children, accounting for 92.24% of the total number of cases. EV71 and CoxA16 are the major pathogens of hand-foot-mouth disease. Laboratory confirmed cases of EV71 positive accounted for 36.21%, CoxA16 positive accounted for 15.52%, of which EV71 is the dominant strain. Conclusion Hand-foot-and-mouth disease prevention and control in Shiyan City is grim. The occurrence of hand-foot-and-mouth disease is obviously different in age and season. The focus of future prevention and control should be placed on children <5 years old.