论文部分内容阅读
目的了解南通市2010年手足口病流行特征,为制订合理防控措施提供依据。方法对2010年各区县上报的手足口病病例进行核酸鉴定,并利用SPSS及Epi Map等工具分析流行病学特征。结果南通市全年共报告手足口病656例,检测肠道病毒核酸阳性392例,其中EV71型187例,占阳性总数47.7%;Cox A16型124例,占阳性总数31.6%;其他肠道病毒81例,占阳性总数20.7%。核酸检测阳性病例中,重症16例(4.1%),以EV71型感染为主。病例集中分布于3~8月时间段,地域分布中以市辖区占明显优势;1~5岁年龄段高发,性别分布差异无统计学意义。结论春夏两季为南通市手足口病的重点防控季节;应加强对5岁以下儿童的疫情监测,做好疫情预警与疫情控制。加强对肠道病毒尤其对EV71型的感染控制,对防止疫情流行具有重要意义。
Objective To understand the epidemic characteristics of hand, foot and mouth disease in 2010 in Nantong City and provide the basis for making reasonable prevention and control measures. Methods The nucleic acid of HFMD cases reported by districts and counties in 2010 was analyzed. The epidemiological characteristics were analyzed by SPSS and Epi Map. Results A total of 656 cases of HFMD were reported in Nantong City during the year, of which 392 were positive for enterovirus. Of which, 187 cases were EV71, accounting for 47.7% of the total; 124 cases were Cox A16, accounting for 31.6% of the total; 81 cases, accounting for 20.7% of the total positive. Nucleic acid test positive cases, 16 cases of severe (4.1%), with EV71-based infection. The cases were concentrated in the time period from March to August, and the geographical distribution was dominated by municipal districts. There was no significant difference in the distribution of sex between 1 ~ 5 age group. Conclusion The spring and summer seasons are the key prevention and control season of hand, foot and mouth disease in Nantong City. It is necessary to strengthen the surveillance of epidemic situation in children under 5 years of age and make early warning of the epidemic situation and epidemic control. To strengthen the control of enterovirus infection, especially EV71 type, is of great significance to prevent epidemic outbreak.