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目的了解北流市手足口病发病趋势和流行特征,为制订防控措施提供参考。方法选择2009年1月1日—2012年12月31日通过国家疾病监测信息报告管理系统报告的手足口病患者13 141例,采用描述性流行病学方法分析北流市手足口病个案信息中的流行概况、区域分布、时间分布、人群分布、年龄分布及病原学特征。结果 2009—2012年全市累计报告手足口病13 141例,年均发病率为284.72/10万,发病率逐年增高,1—12月均有手足口病疫情报告,278个村均有病例发生,为高度散发,发病高峰每年均有2次,发病年龄以≤5岁儿童为主,共发病12 558例,占发病总数的95.56%。重症病例病原学特征主要为EV71感染,占72.26%。结论北流市手足口病疫情仍有上升态势,应加强疫情监控和病原学监测,关注流行高峰的时间窗口并及时预警。
Objective To understand the trend and epidemic characteristics of HFMD in Beiliu City and provide reference for the development of prevention and control measures. Methods A total of 13 141 hand-foot-mouth disease patients reported through the National Disease Surveillance Information Reporting Management System from January 1, 2009 to December 31, 2012 were selected and descriptive epidemiological methods were used to analyze the case information of Beiliu City HFMD Prevalence, regional distribution, time distribution, population distribution, age distribution and etiological characteristics. Results A total of 13 141 hand-foot-mouth disease cases were reported in the city from 2009 to 2012, with an average annual incidence of 284.72 / 100 000. The incidence rate increased year by year. Hand-foot-mouth disease outbreaks were reported from January to December in all 278 villages. Highly distributed, the peak incidence of 2 times a year, the age of onset to ≤ 5-year-old children, a total of 12,558 cases, accounting for 95.56% of the total number of cases. The major etiological features of severe cases were EV71 infection, accounting for 72.26%. Conclusion The outbreak of HFMD in Beiliu is still on the rise. Epidemic surveillance and etiological monitoring should be strengthened, the time window of epidemic peak should be strengthened and early warning should be given.