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目的了解达州市手足口病的流行规律及影响因素,为防控工作提供科学依据。方法收集整理2009-2013年达州市手足口病全部病例信息,采用描述性流行病学方法对病例资料进行统计分析,并对部分病例进行实验室检测。结果全市共报告手足口病5 520例,年均报告发病率19.80/10万,其中重症37例,死亡15例;男女比例为1.66∶1;发病主要集中在5岁以下年龄组,占97.10%;人群分布以散居儿童和托幼儿童为主。每年5-7、10-12月高发,病原学检测以肠道病毒71型为主。结论达州市手足口病防控形势严峻,人群、时间、病原学分布特征明显,应重点加强对散居儿童及幼托机构儿童的预防控制措施。
Objective To understand the prevalence and influencing factors of hand-foot-mouth disease in Dazhou and provide a scientific basis for prevention and control. Methods The data of all cases of hand-foot-mouth disease in Dazhou from 2009 to 2013 were collected and analyzed, and the descriptive epidemiological data were used to analyze the case data. Some cases were tested in laboratory. Results A total of 5 520 HFMD cases were reported in the city, with an average annual incidence rate of 19.80 / 100,000. Among them, 37 were severe and 15 were fatal. The ratio of male to female was 1.66:1. The incidence mainly concentrated in the age group of under 5 years old, accounting for 97.10% The population distribution is dominated by scattered children and nurseries. Each year 5-7, 10-12 high incidence of pathogenic tests to enterovirus 71 based. Conclusion The prevention and control of hand-foot-mouth disease in Dazhou City is severe. The population, time and etiology are obviously distributed. Prevention and control measures should be focused on children in diaspora and child care institutions.