摘要
目的分析2008-2019年安阳市殷都区手足口病流行特征和发病趋势,为科学制定防控策略提供依据。方法采用描述性流行病学方法对2008-2019年中国疾病预防控制信息系统殷都区手足口病监测资料和病原检测结果进行分析。结果2008-2019年殷都区共报告手足口病患者2847例,发病率在14.00/10万~142.14/10万之间,年均发病率64.16/10万。殷都区病例报告有明显的季节性,每年出现一次流行高峰。殷都区报告病例中男女比例为1.54∶1,病例主要集中在5岁及以下,占比为96.28%。职业分布以散居儿童和托幼儿童为主,分别占比69.86%和28.03%。城区手足口病年平均发病率77.70/10万,农村地区年平均发病率52.17/10万,城区手足口病年平均发病率高于农村(P<0.05)。2012-2019年实验室检测手足口病阳性282例,其中EV71病毒110例,CA16病毒75例,其他肠道病毒97例,分别占阳性病例的39.00%、26.60%和34.40%。结论殷都区手足口病年均发病率呈双峰型波动,发病具有明显的季节性、地区性和人群聚集性,应继续加强监测、宣传教育以及重点人群的综合防控。
Objective The epidemic characteristics and incidence trend of hand-foot-mouth disease(HFMD)in Yindu district from 2008 to 2019 were analyzed to provide basis for scientific prevention and control strategies.Methods Descriptive epidemiology method was used to analyze the surveillance data and pathogen detection results of HFMD in Yindu district from2008 to 2019.Results From 2008 to 2019,a total of 2847 cases of HFMD were reported in Yindu district,with the incidence fluctuating between 14.00/100000 and 142.14/100000,with an average annual incidence of 64.16/100000.The reported cases in Yindu district had obvious seasonality,and there was an epidemic peak every year.The ratio of male to female cases reported in Yindu district was 1.54:1,and the cases were mainly under 5 years old,accounting for 96.28%.Children in nurseries and children at home accounted for 28.03%and 69.86%of the total cases,respectively.The average annual incidence of HFMD in urban areas was higher than that in rural areas(P<0.05),and the difference was statistically significant.From 2012 to 2019,282 cases of HFMD were tested positive in the laboratory,which included 110 cases of EV71 virus,75 cases of CA16 virus,and 97 cases of other enterovirus,accounting for 39.00%,26.60%and 34.40%of the positive cases,respectively.Conclusions The annual incidence of HFMD fluctuates with two peaks in Yindu district,and the incidence has obvious seasonality,regional and population clustering.It should continue to strengthen monitoring,publicity and education as well as comprehensive prevention and control of key groups.
作者
胜桂红
SHENG Guihong(Yindu Center for Disease Control and Prevention,Anyang 455000,China)
出处
《河南预防医学杂志》
2021年第4期314-316,共3页
Henan Journal of Preventive Medicine
关键词
手足口病
流行特征
儿童
Hand-foot-mouth disease
Epidemiological characteristics
Children
