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目的分析泗洪县2010年手足口病的流行情况,为制定防治对策提供科学依据。方法采用描述性流行病学分析方法对泗洪县2010年手足口病疫情报告资料进行统计分析。结果2010年该县共报告手足口病971例,报告发病率为94.80/10万,发病数位居该县各类法定传染病首位,无死亡病例。病例均呈散在分布,无暴发疫情和聚集发病现象;3—6月为发病高峰,共发生病例703例,占全年发病总数的72.40%;男、女发病率分别为122.10/10万、67.99/10万,差异有统计学意义(P<0.01);病例集中在0～3岁,共计893例,占发病总数的91.97%。病例以散居儿童为主,共951例,占发病总数的97.94%。采集86例病例的咽拭子和肛拭子进行实验室检测,检出肠道病毒核酸阳性49例,检出率为56.98%,其中EV71病毒核酸阳性29例,CoxA16病毒核酸阳性6例,其他肠道病毒阳性14例。结论 2010年泗洪县手足口病报告发病率仍维持在较高流行水平,应进一步加强疫情监测和控制。
Objective To analyze the prevalence of hand-foot-mouth disease in Sihong County in 2010 and provide a scientific basis for making prevention and control measures. Methods Descriptive epidemiological analysis was used to analyze the data of HFMD in Sihong county in 2010. Results A total of 971 hand-foot-mouth disease cases were reported in this county in 2010, with a reported incidence rate of 94.80 / 100 000, ranking the first place of all kinds of notifiable infectious diseases in the county with no deaths. The cases were scattered, no outbreaks and the incidence of aggregation; 3 to 6 months for the peak incidence, a total of 703 cases, accounting for 72.40% of the total annual incidence; male and female incidence rates were 122.10 / 100,000, 67.99 / 100000, the difference was statistically significant (P <0.01); cases concentrated in 0 to 3 years old, a total of 893 cases, accounting for 91.97% of the total number of onset. The cases were mainly scattered children, a total of 951 cases, accounting for 97.94% of the total number of cases. Twenty-four cases of throat swabs and anal swabs were collected for laboratory testing. The positive rate of enterovirus nucleic acid was 49.9% (detection rate was 56.98%), of which 29 were positive for EV71 virus and 6 were for CoxA16 virus. The other Enterovirus positive in 14 cases. Conclusion The incidence of hand-foot-mouth disease in Sihong County in 2010 remains at a relatively high prevalence level, and the surveillance and control of epidemic situation should be further strengthened.