论文部分内容阅读
目的分析佛山市南海区2009-2013年手足口病的发病情况及流行特征,为有效预防和控制手足口病的发生和流行提供科学依据。方法采用描述性流行病学方法对2009-2013年南海区手足口病疫情资料进行分析。结果2009-2013年南海区手足口病报告病例68 074例(其中重症病例43例,死亡3例),年均发病率为528.98/10万。2009-2013年发病率分别为132.87/10万、447.33/10万、468.54/10万、662.58/10万、891.33/10万,呈逐年高发和上升态势;有明显的季节性,5-9月发病的占70.99%;0~5岁报告病例的占95.60%,3岁及以下占83.71%;散居儿童占81.99%,幼托儿童占15.27%;2009-2013年报告实验室诊断病例347例,占报告病例总数的0.51%,其中肠道病毒71型占26.22%,柯萨奇病毒A 16型占26.22%,其他肠道病毒占47.55%。2009-2013年全区共报告10例以上的手足口病暴发疫情9起,发病133例,2例以上手足口病聚集性疫情282起,合计发病940例,大部分发生在托幼机构。结论 2009-2013年南海区手足口病疫情呈高发态势,发病存在明显季节、地区、性别、年龄差异,今后应重点针对5岁及以下儿童家庭和托幼机构开展手足口病预防控制工作。
Objective To analyze the incidence and epidemic characteristics of hand-foot-mouth disease in Nanhai District, Foshan City from 2009 to 2013 and provide a scientific basis for the effective prevention and control of the occurrence and prevalence of hand-foot-mouth disease. Methods Descriptive epidemiological methods were used to analyze the data of HFMD in the South China Sea from 2009 to 2013. Results A total of 68 074 HFMD reported cases (including 43 severe cases and 3 deaths) were reported in the South China Sea from 2009 to 2013 with an average annual incidence of 528.98 / 100 000. The incidence rates in 2009-2013 were 132.87 / 100000, 447.33 / 100000, 468.54 / 100000, 662.58 / 100000, 891.33 / 100000, which showed a high incidence and rising trend year by year; there was a clear seasonal, May-September Accounting for 70.99% of the cases; 0 to 5 years old reported cases accounted for 95.60%, 3 years old and below accounted for 83.71%; scattered children accounted for 81.99%, childcare children accounted for 15.27%; 2009-2013 reported laboratory diagnosis of 347 cases, Accounting for 0.51% of the total reported cases, including 71 cases of enterovirus 71 accounting for 26.22%, Coxsackie virus A 16 accounted for 26.22%, other enterovirus accounted for 47.55%. In 2009-2013, there were 9 outbreaks of HFMD in more than 10 cases, 133 cases, and more than 2 cluster outbreaks of 282 cases of hand-foot-mouth disease, with a total incidence of 940 cases, most of which occurred in nurseries. Conclusion The epidemic situation of hand, foot and mouth disease in the South China Sea from 2009 to 2013 showed a trend of high incidence. There were obvious seasonal, regional, gender and age differences in the incidence. In the future, we should focus on the prevention and control of hand-foot-mouth disease in families and nurseries for children aged 5 years and under.