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目的了解2009-2013年广东省连平县手足口病流行病学特征,掌握流行动态,为预防控制手足口病提供科学依据。方法采集国家疾病监测信息报告管理系统2009-2013年连平县手足口病报告病例个案资料,对数据进行描述性流行病学分析。结果 2009-2013年连平县共报告手足口病865例,年均发病率为43.48/10万。发病有明显的季节性,高峰在4-6月(606例,占70.06%)。上坪镇发病率最高,为84.48/10万,不同乡镇间发病率差异有统计学意义(χ2=208.06,P<0.01)。男性536例,女性329例,性别比为1.63∶1,差异有统计学意义(χ2=43.98,P<0.01)。发病主要集中在5岁以下儿童(805例,占93.06%),职业以散居儿童居多(772例,占80.08%)。结论连平县预防控制手足口病的关键期在4-6月份,做好5岁以下散居儿童手足口病的防控工作是当前防控任务的重中之重,应加强疫情监测工作,加大健康教育宣传力度。
Objective To understand the epidemiological characteristics of hand-foot-mouth disease in Lianping County of Guangdong Province from 2009 to 2013 and to master the epidemiological trends and provide a scientific basis for the prevention and control of hand-foot-mouth disease. Methods The data of reported cases of hand, foot and mouth disease in Lianping County from 2009 to 2013 were collected from the National Disease Surveillance Information Reporting Management System. The data were analyzed by descriptive epidemiology. Results A total of 865 HFMD cases were reported in Lianping County from 2009 to 2013, with an average annual incidence of 43.48 / 100 000. The onset of a significant seasonal peak in April-June (606 cases, accounting for 70.06%). The highest incidence of the town of Ping Town, 84.48 / 100 000, the incidence of different townships were statistically significant (χ2 = 208.06, P <0.01). There were 536 males and 329 females with a sex ratio of 1.63: 1, the difference was statistically significant (χ2 = 43.98, P <0.01). The incidence mainly concentrated in children under 5 years old (805 cases, accounting for 93.06%), occupational to scattered children (772 cases, accounting for 80.08%). Conclusions The key period to prevent and control hand-foot-mouth disease in Lianping County is from April to June. To prevent and control hand-foot-mouth disease in children under 5 years of age is the most important task in current prevention and control. Monitoring of epidemic situation should be strengthened. Big health education propaganda.