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目的探讨天津市红桥区手足口病的流行病学特征。方法使用国家疾病监测信息报告管理系统开展手足口病监测,并对全部病例进行个案流行病学调查。结果手足口病是红桥区学龄前儿童中发病率较高的一种传染病,1～4岁组儿童发病率达648.42/10万,7月为发病高峰,双环街发病率最高,发病人群主要为幼托和散居儿童,在托幼机构易引起暴发。不洁的个人卫生习惯(吸吮手指、使用奶嘴或玩具前不消毒、家长抱孩子之前不洗手),幼儿园消毒措施不到位(奶嘴或玩具使用前不消毒)为红桥区手足口病发病的危险因素。结论手足口病的发生有明显年龄、职业、季节差异,开展手足口病流行病学研究,将有助于提出更好的预防和控制措施。
Objective To investigate the epidemiological characteristics of HFMD in Hongqiao District of Tianjin. Methods The National Disease Surveillance Information Reporting Management System was used to carry out hand-foot-mouth disease surveillance and case-by-case epidemiological investigation was conducted on all the cases. Results Hand-foot-mouth disease was a kind of infectious disease with a high prevalence in preschool children in Hongqiao District. The incidence rate of children aged 1 to 4 years old was 648.42 / 100000. The incidence peak was in July and the incidence was the highest in Shuanghuan Street. Mainly for kindergarten and diaspora children, nurseries and kindergartens prone to outbreaks. Unclean personal hygiene (sucking fingers, not using a nipple or toy before disinfection, parents do not wash their hands before childbirth), kindergarten disinfection is not in place (teats or toys before disinfection) for the risk of hand-foot-mouth disease in Hongqiao District factor. Conclusion The occurrence of hand, foot and mouth disease is obviously different in age, occupation and season. Carrying out the epidemiological study of HFMD will help to propose better prevention and control measures.