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目的通过分析承德市2011—2015年手足口疫情特征,提出防控措施建议,优化承德市手足口病防控体系。方法导出“中国疾病监测信息系统”中所有手足口病病例资料,采用描述流行病学方法对数据进行分析。结果 2011—2015年承德市共报告手足口病病例23 835例,其中男14 589例,女9 246例,年平均发病率为128.85/10万。双桥区、隆化县和承德县发病数最多,6—7月为发病高峰。病例中以散居儿童和幼托儿童为主,5岁以下儿童占83.50%。病原学监测结果显示,手足口病原主要以EV71和COA16为主,其中EV71所占比重最大。结论承德市边远贫困县区儿童手足口病发病情况值得关注,应通过疫情分析并结合走访调研了解发病原因,建立更加优化的承德市手足口防控体系。
Objective To analyze the characteristics of hand-foot-mouth epidemic in 2011-2015 in Chengde, put forward the suggestions of prevention and control measures and optimize the prevention and control system of hand-foot-mouth disease in Chengde. Methods All cases of HFMD in China Disease Surveillance Information System were derived and the descriptive epidemiological method was used to analyze the data. Results A total of 23 835 HFMD cases were reported in Chengde City during 2011-2015, including 14 589 males and 9 246 females, with an average annual incidence of 128.85 / 100 000. Shuangqiao District, Longhua County and Chengde County, the largest number of incidence, peak incidence in June-July. The majority of cases were diaspora and kindergarten children, accounting for 83.50% of children under 5 years of age. Etiological surveillance showed that the main pathogens of hand-foot-mouth were EV71 and COA16, of which EV71 accounted for the largest proportion. Conclusion The incidence of HFMD in children in remote and poor counties in Chengde City deserves our attention. The outbreak causes should be analyzed through epidemic situation analysis and interviews and visits to establish a more optimized prevention and control system for HFMD.