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目的分析成安县2008-2014年手足口病疫情流行特征,为制定防治策略提供科学依据。方法运用描述流行病学方法进行资料整理分析,用Excel软件统计整理数据。结果 2008-2014年成安县共报告手足口病病例2 865例,重症病例21例,年均发病率103.03/10万,其中2009年发病率最高,2012年次之,分别为240.61/10万、180.19/10万,2012年重症病例最多。男女性别比为1.72:1;发病年龄以3岁以内儿童为主,占总病例数的79.79%;职业分布以散居儿童为主,占总病例数的96.47%,幼托儿童和学生分别占2.76%和0.77%;时间分布4~6月为发病高峰,两个月的发病例数占报告总病例数的79.30%;地区分布以成安镇居首,其次为漳河店镇,发病率分别为152.48/10万、127.25/10万。结论成安县手足口病防控的重点人群为3岁内的散居儿童,重点地区为城乡结合部的成安镇,时间为4~7月,建议采取以宣传教育为主的综合防控措施。
Objective To analyze the epidemic characteristics of HFMD in 2008 ~ 2014 in Cheng’an County and provide a scientific basis for formulating prevention and treatment strategies. Methods Using descriptive epidemiological methods to analyze the data, using Excel software to organize the data. Results A total of 2 865 HFMD cases and 21 severe cases were reported in Cheng’an County from 2008 to 2014, with an average annual incidence of 103.03 / 100 000, of which the highest incidence was in 2009 and 240.61 / 100 000 respectively in 2012, 180.19 / 100,000, the most serious cases in 2012. The male-to-female sex ratio was 1.72: 1. The age of onset was mainly children under 3 years old, accounting for 79.79% of the total cases. The occupational distribution was dominated by diaspora, accounting for 96.47% of the total number of cases and 2.76 % And 0.77% respectively. The distribution of time from April to June was the peak of incidence. The incidence of cases in two months accounted for 79.30% of the total reported cases. The distribution was mainly in Chengan Town, followed by Zhanghedian Town with the incidence rates of 152.48 / 100,000, 127.25 / 100,000. Conclusion The key population of hand, foot and mouth disease prevention and control in Cheng’an County is scattered children within 3 years of age. The key area is Cheng’an Town with the junction of urban and rural areas. The time range is from April to July. It is suggested to take comprehensive prevention and control measures mainly based on propaganda and education.