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目的分析义马市手足口病流行病学特点和流行趋势,为制定手足口病防控措施提供科学依据。方法采用描述流行病学方法,对2009-2012年义马市《疾病监测信息报告管理系统》报告的手足口病资料进行分析。结果 2009-2012年共报告手足口病515例,发病率分别为37.99/10万、136.07/10万、40.5/10万、140.91/10万;其中重症病例11例,死亡2例;几乎每月均有病例报告,4～7月为发病高峰期;全市7个办事处均有病例报告,城乡结合部发病率最高;男性多于女性,男:女=2.3:1;以3岁以下儿童发病最多,共442例,占总发病数的85.83%,职业分布以散居儿童为主,共406例,占总发病数的78.83%。结论义马市手足口病发病高峰为4～7月,发病年龄以3岁以下城乡结合部散居儿童为主,EV71是引起重症和死亡病例发生的主要原因,因此加强手足口病防控,应做到关口前移,重心下沉,要加大健康教育宣传力度。
Objective To analyze the epidemiological characteristics and epidemiological characteristics of HFMD in Yima City and provide scientific evidence for the prevention and control measures of HFMD. Methods Descriptive epidemiological methods were used to analyze the hand-foot-mouth disease data reported in 2009-2009 Yima City Disease Surveillance Information Report Management System. Results A total of 515 HFMD cases were reported from 2009 to 2012, the incidence rates were 37.99 per 100,000, 136.07 per 100,000, 40.5 per 100,000 and 140.91 per 100,000, respectively. Among them, 11 were critically ill and 2 died. Almost monthly There are case reports, from April to July peak incidence; the city’s seven offices have case reports, the highest incidence of urban-rural combination; more men than women, male: female = 2.3: 1; to children under 3 years of age Up to a total of 442 cases, accounting for 85.83% of the total number of cases. Occupational distribution mainly consisted of scattered children, a total of 406 cases, accounting for 78.83% of the total cases. Conclusion The peak incidence of hand-foot-mouth disease in Yima is from April to July. The age of onset is mainly scattered among urban-rural children under 3 years of age. EV71 is the main cause of severe and fatal cases. Therefore, Do the mark move forward, center of gravity sink, to increase health education and publicity efforts.