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目的分析唐山市丰润区2010-2012年3 236例手足口病患儿的流行病学特征,为制定手足口病的防控措施提供科学依据。方法利用中国疾病预防控制信息系统、病例个案调查和现场调查数据分析手足口病的流行病学特征。结果 2010-2012年共报告手足口病病例3 236例,3年报告发病率分别为94.8/10万、154.7/10万、94.9/10万。手足口病发病主要集中在6~7月份,男性多于女性(性别比为1.64∶1),0~4岁儿童占88.7%(2 860/3 226)、散居儿童占79.2%(2 563/3 226)100例实验室确诊病例中,44例感染肠道病毒EV71型、20例为CoxA16型、36例为其他肠道病毒。结论唐山市丰润区2011年手足口病发病率高于2010年和2012年,低龄、散居儿童为主要发病人群。对低龄手足口病患儿应注意观察病情进展,有条件的及时采样进行病原学检测。
Objective To analyze the epidemiological characteristics of 3 236 children with hand-foot-mouth disease in Fengrun District of Tangshan City from 2010 to 2012, and provide scientific evidence for prevention and control measures of hand-foot-mouth disease. Methods The epidemiological characteristics of hand, foot and mouth disease were analyzed by using information system of Chinese disease control and prevention, case-case investigation and field survey data. Results A total of 3 236 cases of hand, foot and mouth disease were reported in 2010-2012. The incidence of 3-year reports was 94.8 / 100000, 154.7 / 100000 and 94.9 / 100000 respectively. The incidence of hand, foot and mouth disease was mainly in June-July, with more males than females (sex ratio 1.64: 1), 88.7% (2860/3 226) children aged 0-4 and 79.2% (2,563 children) 3 226) Of the 100 laboratory confirmed cases, 44 were infected with enterovirus EV71, 20 were CoxA16 and 36 were other enteroviruses. Conclusion The prevalence of HFMD in Fengrun District of Tangshan City in 2011 was higher than that of 2010 and 2012. The younger age and diaspora were the main incidence groups. Children with young hand-foot-mouth disease should pay attention to observe the progress of the disease, conditional sampling in time for etiological testing.