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目的通过湖南省手足口病疫情分析,为制定手足病防控策略提供依据。方法通过国家疾病监测信息报告管理系统收集湖南省2009~2013年手足口病疫情资料,采用描述流行病学方法进行统计分析。结果湖南省2009~2013年共报告手足口病病例547 027例,5年发病率差异有统计学意义(χ2=164.166,P<0.001),14个市州均有病例报告,地区发病率差异有统计学意义(χ2=108.103,P<0.001),时间分布呈现明显的季节性,5岁以下儿童是主要的发病人群。共有18 957例手足口实验室诊断病例。其中EV71有9 753例占51.45%;Cox A 16有3 129例,占16.50%;其他肠道病毒有6 075例,占32.05%。结论湖南省手足口病疫情具有地区持续性,加大对重点地区重点人群的综合干预措施,可有效控制手足口病在湖南省的流行。
Objective To provide evidences for the prevention and control of hand and foot diseases by analyzing the epidemic situation of hand, foot and mouth disease in Hunan Province. Methods The epidemiological data of hand-foot-mouth disease in Hunan Province collected from 2009 to 2013 were collected through the national disease surveillance information report management system, and the descriptive epidemiological method was used for statistical analysis. Results A total of 547,027 cases of hand-foot-mouth disease were reported from 2009 to 2013 in Hunan Province. The 5-year incidence rates were significantly different (χ2 = 164.166, P <0.001). There were 14 cases reported in the cities and prefectures. Statistical significance (χ2 = 108.103, P <0.001), the time distribution showed a clear seasonal, children under 5 years of age is the main incidence of the crowd. A total of 18,957 cases of hand, foot and mouth laboratory diagnostic cases. Among them, 9 753 cases accounted for 51.45% of EV71 cases; 3 129 cases of Cox A 16 cases accounted for 16.50%; 6 075 cases of other enterovirus viruses accounted for 32.05%. Conclusions The epidemic situation of hand, foot and mouth disease in Hunan Province has the regional continuity and the comprehensive intervention measures for the key population in key areas, which can effectively control the prevalence of HFMD in Hunan Province.