目的了解涉县手足口病疫情流行现状,探讨其流行趋势、影响因素及防治措施效果。方法对2012年报告的每个手足口病病例进行个案调查,部分病例进行病原学检测,用流行病学知识对上述资料进行统计分析。结果2012年涉县手足口病全年均有发病,4月病例开始增多,高峰集中在5~7月,8月以后逐渐减少。病原主要为Cox A16和HEV 71,无重症病例和死亡病例。病例高度散发,涉城镇、更乐镇病例相对较多。结论 1~5岁儿童为重点监测人群,加强宣传,教育家长养成良好的卫生习惯,疾病流行期间少让幼儿到拥挤的公共场所;学校及托幼机构应加强晨、午检,认真落实因病缺勤病因追踪,;医疗机构实行预检分诊,避免院内感染的发生。 Objective To understand the epidemic situation of hand, foot and mouth disease in Shexian County and to discuss its epidemic trend, influencing factors and the effect of prevention and cure measures. Methods The case reports of each case of hand, foot and mouth disease reported in 2012 were investigated. In some cases, etiological tests were performed and the above data were statistically analyzed with epidemiological knowledge. Results In 2012, hand-foot-and-mouth disease in Shexian County occurred in all the year, and the cases started to increase in April. The peak was concentrated in May-July and gradually decreased after August. Pathogen is mainly Cox A16 and HEV 71, no severe cases and deaths. The case is highly distributed, involving the town, more music town cases are relatively large. Conclusion 1 to 5-year-old children are the key monitoring population, strengthen publicity, educate their parents to develop good health habits, and keep infants from crowded public places during the epidemic. Schools and nurseries should strengthen their morning and afternoon semesters and earnestly implement The cause of illness absence tracking, medical institutions to implement pre-screening triage to prevent the occurrence of nosocomial infections.