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目的分析天津市无瑕街社区2011—2013年手足口病流行病学特征,为手足口病的防治提供科学依据。方法使用Excel 2003整理导入数据库,采用SPSS13.0对数据进行分析。结果 2011—2013年,天津市无瑕社区累计报告手足口病例259例,平均发病率为271.64/10万。2011、2012和2013年发病数分别73、143和43例。2011年手足口病发病人群主要分布在华盛里、新袁村和大无缝,2012年主要分布在官房村、新袁村和大无缝,2013年主要分布在大无缝、华盛里和聚贤里。手足口病发病有明显的季节性,从3月开始逐渐升高,5—7月为发病高峰,2011年9—11月有小幅反弹,产生了两个次高峰。5岁以下幼儿为主要发病人群。2011—2013年,5岁以下年龄组发病例数所占比例分别为95.9%、92.3%、83.7%,男性的发病率均高于女性。散居儿童和托幼儿童为手足口病的主要发病人群,2011—2013年散居儿童占全部病例数的比例分别为50.7%、46.9%、60.4%,托幼儿童所占比例分别为46.5%、47.5%和30.2%。结论手足口病已经成为了社区公共卫生的挑战之一,预防控制策略应考虑易感人群和季节发病高峰。
Objective To analyze the epidemiological characteristics of hand, foot and mouth disease in 2011-2013 flawless street community in Tianjin, and to provide a scientific basis for the prevention and treatment of hand-foot-mouth disease. Methods Excel 2003 finishing import database, the use of SPSS13.0 data analysis. Results From 2011 to 2013, a total of 259 cases of hand, foot and mouth were reported by flawless community in Tianjin. The average incidence was 271.64 / 100000. The number of cases in 2011, 2012 and 2013 were 73, 143 and 43 respectively. In 2011, HFMD patients were mainly distributed in Huashengli, Xinyuancun and Great Seamless. In 2012, they were mainly distributed in Guanfang Village, Xinyuancun and Great Seamless. In 2013, they were mainly distributed in Grand Seamless, Huashengli And poly Yin Lane. The incidence of hand, foot and mouth disease was significantly seasonal, gradually increased from March, 5-7 month peak incidence, a slight rebound in September-November 2011, resulting in two sub-peak. Children under 5 years of age as the main incidence of the crowd. In 2011-2013, the percentage of cases under age 5 in age group was 95.9%, 92.3% and 83.7%, respectively. The incidence of males was higher than that of females. The number of scattered children and kindergarten children is the main incidence of hand-foot-mouth disease. The proportion of scattered children in all cases from 2011 to 2013 was 50.7%, 46.9% and 60.4% respectively, while that of toddlers and children was 46.5% and 47.5% respectively % And 30.2%. Conclusion Hand, foot and mouth disease has become one of the challenges of community public health. Prevention and control strategies should consider the peak of the susceptible population and the seasonal peak.