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目的分析广东省东莞市手足口病流行病学特征,为控制手足口病提供参考依据。方法对2009-2012年东莞市手足口病疫情资料和实验室检测结果进行描述和分析。结果 2009-2012年东莞市共报告手足口病病例91 238例,重症653例,死亡14例,年均发病率为292.62/10万;各月均有手足口病报告,病例集中在4~7月,呈单峰型曲线;5岁以下儿童占总病例数的95.75%;散居儿童占77.57%,托幼儿童占19.25%;流动人口占61.25%,本地人口占38.75%;聚集病例多发生在托幼机构;普通病例病原体以其他肠道病毒为主,占60.08%;重症病例以EV71为主,占81.48%;死亡病例100%由EV71引起。结论东莞市手足口病发病率有上升趋势,应重点做好手足口病的病原学监测,以及5岁以下散居儿童和托幼机构的防控工作。
Objective To analyze the epidemiological characteristics of hand, foot and mouth disease in Dongguan City, Guangdong Province and provide a reference for the control of hand, foot and mouth disease. Methods 2009-2012 hand-foot-mouth disease data and laboratory test results in Dongguan City were described and analyzed. Results A total of 91,238 HFMD cases were reported in Dongguan from 2009 to 2012, with 653 critically ill patients and 14 deaths. The average annual incidence was 292.62 per 100 000. There were reports of hand-foot-mouth disease in each month. The cases were concentrated in 4 to 7 Month, showing a single peak curve; children under 5 accounted for 95.75% of the total number of cases; scattered children accounted for 77.57%, children care children accounted for 19.25%; floating population accounted for 61.25%, the local population accounted for 38.75%; clustered cases occurred in Child care institutions; common cases of other enteroviruses pathogens, accounting for 60.08%; severe cases of EV71-based, accounting for 81.48%; 100% of the deaths caused by EV71. Conclusion The incidence of hand-foot-mouth disease in Dongguan City is on the rise. Etiological monitoring of hand-foot-mouth disease and the prevention and control of diaspora and kindergarten under 5 years old should be emphasized.