论文部分内容阅读
目的了解2008-2015年盐城市手足口病的三间分布规律,为手足口病预防提供理论依据。方法通过中国疾病预防控制信息系统,收集2008-2015年盐城市全部手足口病病例信息,采用描述性研究法对监测数据进行分析。结果本地区2008-2015年共报告手足口病44 962例,平均发病率为75.06/10万。2008-2015年发病率分别为11.45/10万、60.46/10万、50.41/10万、98.54/10万、100.38/10万、78.16/10万、147.63/10万和53.42/10万,呈“峰谷”年状态。季节上,每年存在一大一小两个流行高峰,大流行高峰4-6月份,小流行高峰11月-次年1月份。亭湖区为高发地区(约占35.49%),其周边为次高发区,北部地区为低发区。人群分布上,以1~3岁人群为主要发病人群(约占71.03%);男性明显多于女性,性别比约为1.77∶1;以散居儿童为主(约占75.98%),托幼儿童次之。本地区主要流行肠道病毒毒株为EV71与Cox A16,交替流行,2~3年为一个波动周期。结论盐城市手足口病发病时间时间存在两个流行高峰,地区分布差异大,3岁以下散居儿童为重点人群,建议在发病高峰时期针对重点地区、重点人群进行手足口病防控。
Objective To understand the three distribution patterns of hand-foot-mouth disease in Yancheng from 2008 to 2015 and provide a theoretical basis for the prevention of hand-foot-mouth disease. Methods Through the information system of China’s disease prevention and control, all cases of HFMD in Yancheng City during 2008-2015 were collected, and the descriptive method was used to analyze the monitoring data. Results A total of 44 962 HFMD cases were reported in this area from 2008 to 2015, with an average incidence rate of 75.06 / 100 000. The incidence rates in 2008-2015 were 11.45 / 100000, 60.46 / 100000, 50.41 / 100000, 98.54 / 100000, 100.38 / 100000, 78.16 / 100000, 147.63 / 100000 and 53.42 / 100000 respectively, “Peak valley ” year state. Season, there is a big one small two annual peak, the peak of the peak from April to June, the peak of the peak from November to January of the following year. Pavilion Lake District is a high incidence area (about 35.49%), its periphery is the next highest incidence area, and the northern area is the low incidence area. Population distribution, mainly in 1-3 years old population (about 71.03%); men were significantly more than women, the sex ratio was about 1.77:1; mainly for scattered children (about 75.98%), child care children Second. The main epidemic enterovirus strains in this area are EV71 and Cox A16, alternating epidemic, 2-3 cycles for a wave. Conclusion There are two epidemic peaks in the onset time of hand, foot and mouth disease in Yancheng City. There are big differences in regional distribution and scattered children below 3 years old. It is suggested that hand-foot-mouth disease prevention and control should be carried out in key areas and key populations during the peak period.