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目的对湖南省浏阳市2011—2012年手足口病流行病学特征及监测结果进行分析,为制定预防措施提供参考依据。方法收集《国家疾病报告信息管理系统》中相关的手足口病疫情监测资料,采用描述性流行病学方法进行综合分析。结果 2011—2012年全市共报告手足口病7627例,平均年发病率为296.36/10万,发病主要集中在5—6月和10—11月,占60.48%;男女性别比为1.70∶1,男性发病率为369.33/10万,女性发病率为221.91/10万,差异有统计学意义(χ2=8.91,Ρ<0.01);发病以0~4岁婴幼儿童为主,占96.46%;职业以散居儿童为主,占81.69%;人口集中,流动人员较多的地区发病率高于山区,差异有统计学意义(χ2=27.08,Ρ<0.01);132例实验室检测病例中,肠道病毒71型、柯萨奇病毒A组16型、其他肠道病毒阳性检出率分别为43.18%、20.46%和36.36%。结论浏阳市的手足口病发病有明显的季节性,存在年龄、性别、地区差异,今后的防控重点应为0~4岁的散居儿童。
Objective To analyze the epidemiological characteristics and monitoring results of hand-foot-mouth disease in Liuyang City, Hunan Province from 2011 to 2012, and provide a reference for the formulation of preventive measures. Methods Collect the monitoring data of hand, foot and mouth disease in the “National Disease Reporting Information Management System”, and carry out a comprehensive analysis by descriptive epidemiological method. Results A total of 7627 hand-foot-mouth disease cases were reported in the city from 2011 to 2012, with an average annual incidence of 296.36 / 100 000. The incidence mainly concentrated in May-June and October-November, accounting for 60.48%. The male-female ratio was 1.70: 1, The incidence of males was 369.33 / lakh and the incidence rate of females was 221.91 / lakh, the difference was statistically significant (χ2 = 8.91, P <0.01). The incidence was mainly in infants and young children aged 0 ~ 4, accounting for 96.46% The majority of children were scattered children, accounting for 81.69% of all cases. The incidence rate of population concentrated and migrants was higher than that of mountainous areas (χ2 = 27.08, P <0.01). In 132 laboratory tests, 71 and Coxsackievirus A were 16 and 43.18%, 20.46% and 36.36% respectively. Conclusion The incidence of hand, foot and mouth disease in Liuyang City is obviously seasonal with age, gender and regional differences. The focus of future prevention and control should be scattered children aged 0-4 years.