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目的了解无锡市锡山区2008-2010年手足口病疫情的流行病学特征。方法采用描述性流行病学方法对疫情资料进行分析。结果 2008-2010年无锡市锡山区共报告手足口病2 334例,年均报告发病率108.56/10万,年发病率分别为70.16/10万、185.60/10万和70.62/10万,1例死亡病例;4月、11月高发,年龄分布以3岁以下最多,占总发病数的66.93%;男女性别比为1.47∶1;职业构成以散居儿童为主占58.31%。共发聚集性疫情47起,其中发生在幼托机构的36起,占总聚集性病例起数的76.60%。检测203份病例标本,阳性125例,其中EV71阳性56例(占44.8%)。结论锡山区2001-2010年手足口病发病率呈现出中间高两边低的波动状态,应重点加强对散居儿童及幼托机构儿童的预防和控制措施。
Objective To understand the epidemiological characteristics of HFMD in Xishan District of Wuxi City from 2008 to 2010. Methods Descriptive epidemiological methods were used to analyze epidemic situation data. Results A total of 2 334 cases of hand, foot and mouth disease were reported in Xishan District of Wuxi from 2008 to 2010. The average annual incidence was 108.56 / 100 000, the annual incidence was 70.16 / 100000, 185.60 / 100000 and 70.62 / 100000, respectively Fatal cases; April and November high incidence, the age distribution of most under 3 years of age, accounting for 66.93% of the total number of cases; male to female ratio was 1.47: 1; occupational composition to disperse children accounted for 58.31%. Forty-seven cases of aggregate epidemic occurred, of which 36 occurred in child care institutions, accounting for 76.60% of the total number of cases of aggregation. Totally 203 cases were detected, of which 125 were positive, of which 56 were positive for EV71 (44.8%). Conclusion The prevalence of hand-foot-mouth disease in Xishan District from 2001 to 2010 showed a low fluctuation in the middle and high sides. The prevention and control measures should be focused on children in diaspora and kindergartens.