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目的了解通江县2010年手足口病流行特征和报告质量,给预防控制工作提供可靠依据。方法采用描述流行病学分析手足口病流行特征,采用不及时率、不完整率和不准确率分析报告质量。结果通江县2010年共报告手足口病253例,死亡2例,发病率、死亡率和病死率分别为37.39/10万、0.30/10万、0.79%。报告发病率居当年报告法定传染病病种第3位。各月均有发病,以春末、夏季为高峰(71.94%),以人口密集度大、流动人口较多的乡(镇)尤其是诺江镇(41.90%)为高发地区,男性发病多于女性(63.64%),发病年龄以1～2岁居多(54.54%),职业上以散居儿童发病居多(67.59%)。肠道病毒CoxA16是病例感染的主要病原体。从手足口病卡报告质量看,不及时率、不完整率、不准确率分别为0.00%、64.08%和64.49%。影响完整性和准确性的主要因素是患者现住详细地址填写不完整,其次是托幼儿童、学生患者工作单位空缺。结论 2010年通江县手足口病疫情报告质量总的较差,应当进一步采取有效措施加强手足口病防控和报告管理工作。
Objective To understand the epidemiological characteristics and reporting quality of HFMD in Tongjiang County in 2010 and provide a reliable basis for prevention and control. Methods Descriptive epidemiology was used to analyze the epidemiological characteristics of hand-foot-mouth disease, and the report quality was analyzed using the rate of not-timely, incompleteness and inaccuracy. Results A total of 253 HFMD cases were reported in Tongjiang County in 2010, with 2 deaths. The morbidity, mortality and mortality were 37.39 / 100 000, 0.30 / 100 000 and 0.79% respectively. The report rate ranked the third in the same year as the notifiable infectious disease report. The incidence in each month was the highest (71.94%) at the end of spring and summer, with high population density and migrant population in towns (especially town) and Nujiang town (41.90% Female (63.64%), the age of onset in the majority of 1 to 2 years old (54.54%), mostly occupationally scattered children (67.59%). Enterovirus CoxA16 is the major causative agent of case-infection. From the hand, foot and mouth disease card report quality, not timely rate, incomplete rate, inaccurate rates were 0.00%, 64.08% and 64.49%. The main factors affecting the integrity and accuracy of incomplete details of the current residence of patients fill in incomplete, followed by kindergarten children, student patient work vacancies. Conclusion The total quality of HFMD reports in Tongjiang County in 2010 is generally poor. Effective measures should be taken to strengthen prevention and control of HFMD and report management.