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[目的]分析高州市2008年手足口病的流行情况,探讨流行相关因素,为制订防治策略提供依据。[方法]对高州市2008年手足口病疫情资料及流行病学调查资料进行分析。[结果]2008年高州市手足口病发病220例,发病率为16.46/10万。疫情波及全市28个乡镇(街道办)。农村发病率为17.85/10万,城区发病率为11.87/10万。220例病人中,5~11月发病数分别占64.09%、16.36%、10.46%、4.09%、0.00%、2.27%、1.82%;发病年龄10 d至10岁,1~4岁占78.18%;男性占74.55%,女性占25.45%;散居儿童占91.36%,幼托儿童占5.00%,小学生占2.27%。检测26例发病7 d内的病人粪便,CoxA16核酸均为阳性,EV71核酸均阴性。[结论]1~4岁儿童是手足口病防治的重点人群,建立家长-学校-疾控三级网络,加强对易感人群的保护。
[Objective] To analyze the epidemic situation of hand-foot-mouth disease in Gaozhou city in 2008, discuss the epidemic related factors and provide the basis for the prevention and control strategy. [Method] The data of epidemic situation and epidemiological survey of HFMD in Gaozhou in 2008 were analyzed. [Results] The incidence of HFMD in Gaozhou in 2008 was 220 cases, the incidence rate was 16.46 / 100000. The outbreak spread to 28 towns (subdistrict offices) in the city. The incidence in rural areas was 17.85 / 100000, the urban area incidence was 11.87 / 100000. The number of onset from May to November accounted for 64.09%, 16.36%, 10.46%, 4.09%, 0.00%, 2.27% and 1.82% respectively in 220 cases. The onset age ranged from 10 days to 10 years and 78.18% Male accounted for 74.55%, women accounted for 25.45%; scattered children accounted for 91.36%, childcare accounted for 5.00%, pupils accounted for 2.27%. Detection of 26 cases of patients within 7 days of onset of stool, CoxA16 nucleic acid were positive, EV71 nucleic acid were negative. [Conclusion] The children aged 1 to 4 years are the key population in the prevention and treatment of HFMD, and establish the parent-school-disease control network to strengthen the protection of the susceptible population.