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目的分析2011年广东省深圳市龙岗区重症手足口病(HFMD)流行病学特征,为制定重症HFMD预防控制策略提供参考依据。方法收集《国家疾病报告信息管理系统》和《深圳市疾病控制信息管理系统》中相关的HFMD疫情监测资料及龙岗区重症HFMD个案调查表等资料,采用描述流行病学方法进行综合分析。结果 2011年深圳市龙岗区HFMD病例数为12 098例,发病率为341.50/10万;重症病例数为55例,重症发生率为0.45%;死亡4例,病死率为0.03%。重症发病主高峰集中在5—7月,次高峰集中在9—11月。龙岗区11个街道中8个街道报告重症手足口病例,其中以坂田街道病例数最多(18例),占32.7%。部分地区出现聚集性。人群特征年龄集中在3岁以下幼儿,占65.45%。职业以散居及托幼儿童为主,各占80.00%和14.55%。重症HFMD病原体以肠道病毒EV71为主,占84.38%。结论深圳市龙岗区重症HFMD病例数逐年增加,已成为该地区严重的公共卫生问题,应进一步研究可能导致重症病例发生的各类因素,并采取综合性防治措施,切实预防和控制重症HFMD的发生,减少病例数,降低病死率。
Objective To analyze the epidemiological characteristics of severe hand-foot-mouth disease (HFMD) in Longgang District, Shenzhen City, Guangdong Province in 2011, and provide a reference for the development of HFMD prevention and control strategies. Methods The data of HFMD epidemic monitoring data and Longgang District Severe HFMD case questionnaire were collected from National Disease Reporting Information Management System and Shenzhen Disease Control Information Management System, and the descriptive epidemiological method was used to conduct a comprehensive analysis. Results The number of HFMD cases in Longgang district in Shenzhen in 2011 was 12 098 with an incidence rate of 341.50 / 100 000. The number of severe cases was 55 and the incidence of severe diseases was 0.45%. Four died and the case fatality rate was 0.03%. The main peak of severe disease concentrated in May-July, sub-peak concentrated in September-November. Eight out of 11 streets in Longgang District reported cases of severe hand-foot-mouth disease, of which the highest was Bantian (18 cases), accounting for 32.7%. Appear in some areas aggregation. Characteristics of the crowd age focused on children under 3 years of age, accounting for 65.45%. Occupation to diaspora and child care-based children, each accounting for 80.00% and 14.55%. Severe HFMD pathogens to enterovirus EV71-based, accounting for 84.38%. Conclusion The number of severe HFMD cases in Longgang District of Shenzhen City has been increasing year by year and has become a serious public health problem in the region. Various factors that may cause severe cases should be further studied and comprehensive prevention and control measures should be taken to effectively prevent and control the occurrence of severe HFMD , Reduce the number of cases, reduce mortality.