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目的通过分析阳江市2010年手足口病流行特征,探索有效的预防控制策略和应对措施。方法采用描述性流行病学分析方法对阳江市2010年报告的手足口病病例资料进行分析。结果阳江市2010年累计报告手足口病5 786例,发病率为235.59/10万;城镇发病3 034例,发病率为343.38/10万,农村发病2 752例,发病率为175.02/10万,城镇发病率高于农村(P<0.01);发病以低年龄组为主,≤3岁4 684例,占病例总数的80.95%;职业分布以散居儿童为主,共报告5 350例,占病例总数的92.46%;7—8月为发病高峰,共报告2 486例,占病例总数的42.97%。从哨点监测医院共随机采集病例粪便标本153份,检出肠道病毒阳性85份,其中CoxA16阳性15份、EV71阳性25份、其他肠道病毒阳性45份,分别占阳性标本总数的17.65%、29.41%、52.94%。结论阳江市2010年手足口病流行高峰在7—8月,城镇人口发病率明显高于农村,加强对托幼机构疫情监测,采取有效的切断传播途径、隔离传染源和开展健康教育等控制措施十分必要。
Objective To analyze the epidemic characteristics of HFMD in Yangjiang in 2010 and explore effective prevention and control strategies and countermeasures. Methods Descriptive epidemiological analysis was used to analyze the data of hand-foot-mouth disease reported by Yangjiang in 2010. Results In 2010, a total of 5 786 HFMD cases were reported in Yangjiang City, with an incidence rate of 235.59 / lakh. There were 3 034 cases in urban areas with an incidence rate of 343.38 / lakh and 2,752 rural incidence rates of 175.02 / lakh, The prevalence in urban areas was higher than that in rural areas (P <0.01). The incidence was mainly in the lower age group, with 4 684 cases of ≤3 years old, accounting for 80.95% of the total cases. The distribution of occupational diseases was mainly for scattered children. A total of 5350 cases were reported, The total number of 92.46%; July-August peak incidence, a total of 2 486 cases were reported, accounting for 42.97% of the total number of cases. A total of 153 cases of stool samples were collected from sentinel surveillance hospitals and 85 were positive for enterovirus, of which 15 were positive for CoxA16, 25 for EV71 and 45 were for other enteroviruses, accounting for 17.65% , 29.41%, 52.94%. Conclusions The peak incidence of HFMD in Yangjiang City in July and August was from August to August. The incidence rate of urban population was significantly higher than that in rural areas. The monitoring of outbreaks in nurseries and kindergartens was strengthened. Effective control measures such as cutting off the transmission, isolating the source of infection and carrying out health education and other control measures Very necessary.