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目的分析2008—2015年婺源县手足口病流行特征,为制定手足口病防控措施提供依据。方法通过中国传染病报告信息管理系统导出2008—2015年婺源县手足口病疫情资料,按照年份、人群、地区、季节和病原学构成等因素进行分析。结果 2008—2015年婺源县共报告手足口病2 500例,年平均发病率为92.29/10万,无死亡病例。2 500例手足口病患者中,男性1 627例(65.08%),女性873例(34.92%);散居儿童1 944例(77.76%),幼托儿童534例(21.36%),学生22例(0.88%);临床诊断病例2 261例(90.44%),实验室确诊病例239例(9.56%)。紫阳镇是手足口病的高发城镇(924.99/10万)。婺源县手足口病有春季和秋季两个发病高峰,具有明显的季节性。手足口病阳性标本239例,其中肠道病毒71型(EV71)105例,柯萨奇病毒A组16型(Cox A16)60例,其他肠道病毒74例。结论婺源县手足口病年发病率较高,具有明显的人群、地区和季节聚集性特征。应加强监测,做好手足口病知识宣传,提高居民防病意识。
Objective To analyze the epidemiological characteristics of hand, foot and mouth disease in Wuyuan County from 2008 to 2015, and provide evidence for the prevention and control measures of hand, foot and mouth disease. Methods The data of HFMD in Wuyuan County from 2008 to 2015 were derived from China Infectious Disease Reporting Information Management System and analyzed according to the year, population, region, season and etiological composition. Results A total of 2 500 HFMD cases were reported in Wuyuan County from 2008 to 2015, with an average annual incidence rate of 92.29 / 100,000 and no deaths. Among the 2 500 cases of hand-foot-mouth disease, 1 627 (65.08%) were male and 873 (34.92%) were female, 1 944 (77.76%) were scattered, 534 (21.36%) were child care, 0.88%). There were 2 261 clinically diagnosed cases (90.44%) and 239 confirmed cases (9.56%). Ziyang town is a high incidence of hand, foot and mouth disease town (924.99 / 100,000). Wuyuan County, hand, foot and mouth disease in spring and autumn peak incidence of two, with obvious seasonal. There were 239 positive cases of HFMD, including 105 cases of enterovirus 71 (EV71), 60 cases of Cox A16 and 74 cases of other enteroviruses. Conclusion The incidence of hand-foot-mouth disease in Wuyuan County is high, with obvious population, regional and seasonal aggregation characteristics. Monitoring should be strengthened to make knowledge of hand-foot-mouth disease knowledge and improve residents’ awareness of disease prevention.