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目的分析柳州市2009—2012年手足口病分布特点和流行趋势,为制定防治对策提供科学依据。方法收集2009—2012年《疾病监测信息报告管理系统》报告的柳州市手足口病病例资料进行分析。结果 2009—2012年柳州市共报告手足口病发病65 735例,重症409例,死亡23例,报告发病率分别为205.54/10万、437.94/10万、456.81/10万和624.42/10万。发病主要集中在4—6月;11个县(区)都有病例报告,男性发病率高于女性。5岁及以下儿童发病数较高,占95.68%;职业以散居儿童和幼托儿童为主,分别占67.79%和28.95%。实验室诊断病例366例,其中肠道病毒71(EV71)型阳性占71.86%,柯萨奇病毒A16(CoxA16)型阳性占9.29%,其他肠道病毒阳性占18.85%。结论柳州市手足口病疫情呈上升趋势,防治工作不容忽视,应强化多部门协作,加强社区散居儿童和托幼机构儿童手足口病的预防控制工作,以减少手足口病的暴发。
Objective To analyze the distribution characteristics and epidemic trends of hand-foot-mouth disease in Liuzhou City from 2009 to 2012, and provide a scientific basis for making prevention and treatment measures. Methods The data of cases of HFMD in Liuzhou from 2009 to 2012 were collected. Results A total of 65 735 cases of HFMD were reported in Liuzhou from 2009 to 2012, 409 cases were severe and 23 died. The reported rates were 205.54 / 100000, 437.94 / 100000, 456.81 / 100000 and 624.42 / 100000 respectively. The incidence mainly concentrated in April-June; 11 counties (districts) have case reports, the incidence of men than women. The number of children aged 5 and below was higher, accounting for 95.68%. The occupations were mainly scattered children and preschool children, accounting for 67.79% and 28.95% respectively. 366 cases were laboratory diagnosed, of which 71.86% were EV71 positive, CoxA16 positive was 9.29% and other enterovirus positive was 18.85%. Conclusion The outbreak of HFMD in Liuzhou is on the rise. Prevention and treatment should not be neglected. Multi-sectoral collaboration should be strengthened to prevent and control hand-foot-mouth disease in diaspora and nursery schools in order to reduce the outbreak of HFMD.