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目的分析2009—2014年连云港市手足口病的流行变化趋势,为科学防控提供依据。方法采用描述流行病学方法对中国疾病监测信息系统中报告的手足口病监测资料和病原学检测结果进行分析。结果 2009—2014年连云港市手足口病累计报告33 966例,年均报告发病率为123.78/10万,重症238例,死亡10例;发病主高峰为5、6月,次高峰为9、10月,≤5岁散居儿童是高发人群,男女性别比为1.80:1;发生聚集性疫情375起,其中家庭201起、托幼机构118起、自然村55起;实验室确诊1 868例,其中EV71阳性1 189例,CoxA16阳性392例,其他肠道病毒阳性287例。结论连云港市为手足口病高发地区,呈周期性流行,季节性和人群分布特征明显,EV71为优势毒株,家庭聚集性病例高发,该市应提高手足口病的监测敏感性,采取针对性的综合防控措施。
Objective To analyze the epidemiological trend of HFMD in Lianyungang City from 2009 to 2014 and provide basis for scientific prevention and control. Methods Descriptive epidemiological methods were used to analyze HFMD surveillance data and pathogen detection results reported in China Disease Surveillance Information System. Results A total of 33 966 cases of hand-foot-mouth disease were reported in Lianyungang from 2009 to 2014, with an average annual incidence of 123.78 / 100 000, severe illness of 238 and death of 10 cases. The main peak incidence was 5 and 6 months, and the next peak was 9 and 10 Month, ≤ 5 years-old scattered children is a high incidence of population, male to female ratio was 1.80: 1; cluster epidemic occurred in 375 cases, of which 201 families, nurseries institutions 118, villages 55; laboratory diagnosed 1868 cases, of which EV71 1 189 positive cases, 392 CoxA16 positive cases and 287 positive cases of other enteroviruses. Conclusions Lianyungang is a seasonal epidemic with seasonal and population distribution characteristics. EV71 is the predominant strain with high incidence of family aggregation. The city should improve the monitoring sensitivity of hand-foot-mouth disease and take targeted Comprehensive prevention and control measures.