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湖北省兴山县2008-2016年手足口病流行病学特征分析

Epidemiological characteristics of hand,foot and mouth disease in Xingshan County of Hubei from 2008 to 2016

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【作者】 龚海燕吴曼张皓张淼崔雪峰徐留森王大军

【Author】 GONG Haiyan;WU Man;ZHANG Hao;ZHANG Miao;CUI Xuefeng;XU Liusen;WANG Dajun;Xingshan Center for Disease Control and Prevention;

【机构】 兴山县疾病预防控制中心宜昌市疾病预防控制中心

【摘要】 目的分析兴山县2008-2016年手足口病流行现状和流行特征,为制定防控措施提供科学依据。方法采用描述流行病学方法对兴山县2008-2016年手足口病监测资料进行分析。结果兴山县2008-2016年9年间共报告手足口病病例1 557例,年平均报告发病率为150.96/10万;4~7月为发病高峰,占发病总数的57.03%,11~12月为次高峰,占发病总数的28.56%。发病年龄主要集中在1~4岁,占发病总数的67.57%。职业分布主要为幼托儿童,其次是散居儿童。男女性别比为1.26∶1。病原学检测结果以柯萨奇病毒A16型(Cox A16)及其他肠道病毒为主。报告暴发疫情2起,聚集性疫情38起,均发生在托幼机构和小学。结论兴山县手足口病具有明显的性别、年龄、季节性和地区差异,4岁及以下儿童是手足口病防控工作的重点人群;同时应加强托幼机构和小学手足口病聚集性病例、暴发疫情的监测。

【Abstract】 Objective To analyze the epidemiological characteristics of hand,foot and mouth disease(HFMD) from 2008 to2016 in Xingshan County and provide scientific evidence for the prevention and control of the disease. Methods The descriptive epidemiological analysis was conducted on the incidence data of HFMD from 2008 to 2016. Results 1 557 cases of HFMD were reported of 9 years,the average annual incidence was 150. 96/100 000; the peak incidence was during the period of 4 to 7 months(57. 03%),the secondary peak incidence was during the period of 11 to 12 months(28. 56%). The age of onset was mainly 1 ~ 4 years old,accounting for 67. 57% of the total number of cases. The distribution of occupation is mainly kindergarten children,followed by scattered children. The ratio of male to female was 1. 26 ∶ 1. The results of pathogenic surveillance were mainly Cox A16 and other enteroviruses. The total number of outbreak was 2,the aggregation epidemic was 38,occurred in the kindergarten and primary school. Conclusion HFMD in Xingshan has obvious gender,age,seasonal and regional differences,children under 4 years of age are the focus of prevention and control of hand,foot and mouth disease,we should strengthen the supervision of hand foot mouth disease in kindergartens and primary school.

【基金】 宜昌市医疗卫生科研项目(A14301-44)
  • 【文献出处】 医学动物防制 ,Journal of Medical Pest Control , 编辑部邮箱 ,2018年03期
  • 【分类号】R181.3;R512.5
  • 【被引频次】6
  • 【下载频次】99
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