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目的了解天津市和平区近年来手足口病(HFMD)发病情况、流行病学特征,为直接预防HFMD制定防治策略提供科学依据。方法应用流行病学现况研究方法对和平区2008—2012年HFMD流行特征、病原分布进行分析,利用质量控制原理计算HFMD分月发病预警和控制参数。结果和平区2008—2012年共报告HFMD 587例,报告发病率为34.95/10万。发病高峰主要集中在6—9月;病例主要分布在0~4岁,男性发病率高于女性,以散居儿童和幼托儿童为主。HFMD病原主要以CoxA16为主。结论和平区近5年来HFMD总体呈上升趋势,散居儿童和幼托儿童是HFMD重点防治对象。HFMD流行有季节性,要密切关注分月发病异常情况。
Objective To understand the incidence and epidemiological characteristics of hand-foot-mouth disease (HFMD) in Heping District of Tianjin in recent years and provide a scientific basis for preventing and treating HFMD directly. Methods The prevalence of HFMD in Heping district from 2008 to 2012 was analyzed using epidemiological methods. The epidemic distribution of HFMD in Heping district was analyzed, and the monthly warning and control parameters of HFMD were calculated using the principle of quality control. Results A total of 587 cases of HFMD were reported in Heping District from 2008 to 2012, with a reported incidence rate of 34.95 / 100 000. The peak incidence mainly concentrated in June-September; cases were mainly distributed in 0 to 4 years old, the incidence of men than women, mainly to diaspora and kindergarten children. The main pathogens of HFMD are CoxA16. Conclusions The HFMD in the Heping district has generally been on the rise in recent 5 years. Diaspora and kindergarten children are the key prevention and treatment targets for HFMD. Seasonal HFMD epidemic, pay close attention to the abnormal incidence of sub-month.