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[目的]探讨手足口病疫情特点,为防控工作提供依据。[方法]对2006～2009年章丘市手足口病疫情资料进行分析。[结果]2006～2009年累计报告手足口病1020例,年均发病率为25.43/10万。年发病率,2006～2009年分别为2.20/10万、15.37/10万、13.04/10万、70.90/10万。1020例病例中,临床诊断病例988例,实验室确诊病例32例;重症病人5例,无死亡病例。2006～2009年年均发病率,南部山区、中西及东部丘陵、北部平原地区分别为18.03/10万、25.14/10万、30.88/10万,城区农村分别为8.07/10万、27.46/10万;男性、女性分别为32.15/10万、18.78/10万,0～5岁、6～9岁、10～54岁分别为345.01/10万、38.08/10万、0.52/10万。1020例病人中,4～8月发病的占83.63%,0～5岁儿童占91.47%,散居儿童与托幼儿童分别占64.41%、31.57%;发生聚集性疫情35起,其中村办托幼机构11起,占31.43%。检测98例病人的粪便标本,EV71病毒核酸阳性的15例,Cox16病毒核酸阳性的3例,其他肠道病毒核酸阳性的14例。[结论]章丘市手足口病疫情逐年增高,应加强宣传教育和疫情监测,加强托幼机构为重点场所的管理,做好以粪便为重点的环境治理,落实综合性防治措施控制疫情。
[Objective] To investigate the characteristics of HFMD epidemic and provide basis for prevention and control. [Method] The data of HFMD in Zhangqiu City from 2006 to 2009 were analyzed. [Results] A total of 1020 HFMD cases were reported from 2006 to 2009, with an average annual incidence of 25.43 / 100,000. The annual incidence rate was 2.20 / lakh, 15.37 / lakh, 13.04 / lakh and 70.90 / lakh respectively from 2006 to 2009. Among 1020 cases, 988 cases were clinically diagnosed, 32 cases were confirmed by laboratory tests, 5 cases were critically ill and no deaths were found. The annual average incidence was from 2006 to 2009, with 18.03 / 100000, 25.14 / 100000 and 30.88 / 100000 respectively in the mountainous areas in the southern mountains, the central and western regions, and the northern plain areas. The urban areas in urban areas were 8.07 / 100,000 and 27.46 / 100,000 respectively ; Males and females were 32.15 / 100000, 18.78 / 100000, 0-5 years old, 6-9 years old, 10-54 years old were 345.01 / 100000, 38.08 / 100000, 0.52 / 100000 respectively. Among 1020 patients, 83.63% were diagnosed from April to August, 91.47% were from 0 to 5 years old, and 64.41% and 31.57% were from scattered children and nursery children respectively. There were 35 cases of concentrated epidemic disease, Institution 11, accounting for 31.43%. The stool specimens of 98 patients were tested, 15 cases were positive for EV71 virus nucleic acid, 3 cases were positive for Cox16 virus and 14 cases were positive for other enterovirus. [Conclusion] The epidemic situation of HFMD in Zhangqiu City increased year by year. Publicity, education and epidemic situation monitoring should be strengthened. The management of nurseries should be strengthened. Environmental management should focus on manure, and comprehensive control measures should be implemented to control the epidemic.