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目的探讨新疆手足口病的流行规律,为做好手足口病的预防与控制工作提供科学依据。方法通过国家疾病监测信息系统,对2009—2012年新疆手足口病资料进行流行病学分析。结果 4年的监测资料显示,全疆手足口病流行高峰主要集中在每年的夏、秋季,而且是人口密度较大的地、州、市;男性发病数和发病率均明显高于女性,且报告病例数主要集中在0~5岁年龄段;2009年、2011年新疆手足口病以EV71感染为主,2010和2012年以CoxA16感染为主;共报告手足口病重症(死亡)病例79例,主要在7岁以下年龄组,以散居儿童居多,其中57例为实验室诊断病例,除1例为其他肠道病毒感染、1例为CoxA16感染以外,其余均为EV71感染。结论新疆手足口病发病地区分布广,以散发为主,人口密度大的地区聚集性病例较多,主要病原为EV71和CoxA16,并存在其他肠道病毒感染,应加强疾病的监测,提高基层医疗机构的诊疗水平,落实幼儿个人、家庭和托幼机构的防控措施是预防手足口病的关键。
Objective To investigate the prevalence of hand-foot-mouth disease in Xinjiang and provide a scientific basis for the prevention and control of hand-foot-mouth disease. Methods Epidemiological analysis of hand, foot and mouth disease in Xinjiang from 2009 to 2012 was conducted through the National Disease Surveillance Information System. Results The monitoring data of 4 years showed that the peak of hand, foot and mouth disease epidemic in Xinjiang mainly concentrated in the summer and autumn each year, but also in the prefecture, city and city with large population density. The incidence and incidence of male were significantly higher than those of women Reported cases mainly concentrated in 0 to 5 years of age; 2009, 2011, Xinjiang HFMD EV71 infection, mainly CoxA16 infection in 2010 and 2012; reported a total of 79 cases of HFMD (death) cases , Mainly in the age group of 7 years and below, most of which were scattered children. Among them, 57 cases were laboratory diagnosed cases, with EV71 infection other than one case of other enterovirus infections and one case of CoxA16 infection. Conclusion The incidence of hand, foot and mouth disease in Xinjiang is widely distributed and mainly distributed. The population with high population density has more aggregated cases, the main pathogens are EV71 and CoxA16, and there are other enterovirus infections. Disease surveillance should be strengthened to improve primary care The level of diagnosis and treatment of institutions, the implementation of prevention and control measures for young children, families and nurseries are the key to prevent hand-foot-mouth disease.