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目的了解清远市2008—2011年手足口病流行病学特征,为手足口病预防控制工作提供依据。方法收集清远市疾病监测信息报告管理系统的手足口病个案信息,采用描述流行病学方法分析其流行病学特征。结果清远市2008—2011年共报告手足口病22 995例,死亡4例。各年报告病例数分别为1 048、3 474、6 832和11 637例,报告发病率分别为30.15/10万、98.92/10万、192.45/10万和314.65/10万。病例以5、6月份发病较多,占全部发病的37.69%。全市8个县(市、区)均有病例报告,以清城区、佛冈和清新3个县发病较高。病例发病以3岁及以下散居儿童为主(所占比例大于70%),男女性别比为1.95∶1。EV71为清远市手足口病的优势流行株,占62.79%。结论清远市报告手足口病病例数呈逐年增加趋势。每年夏季,应加强对3岁以下儿童手足口病的预防控制工作和手足口病病原的监测工作,清城区、佛冈县和清新县散居儿童是预防控制的重点。
Objective To understand the epidemiological characteristics of hand, foot and mouth disease from 2008 to 2011 in Qingyuan City, and to provide basis for the prevention and control of hand foot and mouth disease. Methods The case information of hand, foot and mouth disease in Qingyuan City Disease Surveillance Information Reporting Management System was collected and its epidemiological characteristics were analyzed by descriptive epidemiological method. Results A total of 22 995 HFMD cases were reported in Qingyuan from 2008 to 2011, and 4 deaths were reported. The number of reported cases in each year was 1 048, 3 474, 6 832 and 1 637, respectively. The reported incidence rates were 30.15 / 100,000, 98.92 / 100,000, 192.45 / 100,000 and 314.65 / 100,000 respectively. The incidence of cases in May and June more, accounting for 37.69% of the total incidence. The city’s eight counties (cities, districts) have case reports to Qingcheng District, Fogang and fresh three counties higher incidence. Case incidence of children aged 3 and under (based on the proportion of more than 70%), male to female ratio was 1.95: 1. EV71 is the dominant epidemic strain of hand, foot and mouth disease in Qingyuan City, accounting for 62.79%. Conclusion Qingyuan City, the number of cases reported hand-foot-mouth disease increased year by year trend. Every summer, prevention and control of hand-foot-mouth disease and hand-foot-mouth disease surveillance in children under 3 years of age should be strengthened. Diaspore children in Qingcheng District, Fogang County and Qingxin County are the focus of prevention and control.