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目的分析兰州市2008-2009年手足口病流行特征,为预防和控制手足口病提供科学依据。方法应用描述流行病学方法,对通过《疾病监测信息报告管理系统》和《突发公共卫生事件报告管理信息系统》网络直报的2008-2009年兰州市手足口病发病例数,地区分布、时间分布和人群分布等进行分析。结果兰州市2008-2009年共报告手足口病6 098例,死亡1人,年平均发病率为93.53/10万。发病高峰在4~6月份和9~10月份,1~5岁儿童为主,占病例总数的83.34%。病原学分析显示,2008年以Cox A16为优势病原,2009年EV71占主导地位。结论预防和控制手足口病应以5岁以下儿童为主,争取早发现,早诊断,早治疗,早隔离是控制该病流行的有效措施。
Objective To analyze the epidemiological characteristics of HFMD in Lanzhou from 2008 to 2009 and provide a scientific basis for the prevention and control of HFMD. Methods The epidemiological method was used to describe the incidence of HFMD in Lanzhou from 2008 to 2009, which was directly reported by the Network of Disease Surveillance Information Reporting Management System and Public Health Emergencies Reporting Management Information System, Time distribution and population distribution analysis. Results A total of 6 098 hand-foot-mouth disease cases were reported in Lanzhou from 2008 to 2009, with 1 death. The average annual incidence rate was 93.53 / 100,000. Peak incidence in 4 to 6 months and 9 to 10 months, 1 to 5-year-old children, accounting for 83.34% of the total number of cases. Etiological analysis showed that Cox A16 was the predominant pathogen in 2008 and EV71 dominated in 2009. Conclusion Prevention and control of hand, foot and mouth disease should be based on children under 5 years of age, for early detection, early diagnosis, early treatment, early isolation is an effective measure to control the epidemic.