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目的对2009-2012年邯郸市手足口病(HFMD)流行特征进行分析,为制定有效的预防控制措施提供科学依据。方法收集2009-2012年中国疾病预防控制信息系统中报告的邯郸市手足口病病例资料进行描述流行病学分析。结果 2009-2012年邯郸市共报告手足口病病例42 657例,发病率为117.37/10万;重症594例,死亡13例;4~7月份为发病高峰;职业分布以散居儿童为主(90.87%);年龄主要分布在0~5岁儿童(96.68%);男性26 957例、女性15 700例,男女比例为1.72∶1,男性发病率高于女性,性别间差异有统计学意义(χ2=2 610.03,P<0.001)。全市共报告实验室确诊病例3 340例,其中EV71感染病例最多(84.43%)。结论预防手足口病应采取综合性的预防控制措施,加强疫情和病原学监测,加强健康教育,做好5岁及以下儿童手足口病防控工作是防控重点。
Objective To analyze the epidemiological characteristics of Hand-Foot-Mouth Disease (HFMD) in Handan from 2009 to 2012 and provide a scientific basis for making effective prevention and control measures. Methods Epidemiological analysis of hand, foot and mouth disease data of Handan City reported in China’s disease prevention and control information system from 2009 to 2012 was conducted. Results A total of 42 657 HFMD cases were reported in Handan from 2009 to 2012, with an incidence rate of 117.37 / 100 000; 594 severe cases and 13 deaths; the peak was from April to July; occupational distribution was dominated by scattered children (90.87 %). The age was mainly distributed in children aged 0-5 years (96.68%). There were 26 957 males and 15 700 females, with a male-female ratio of 1.72:1. The incidence of males was higher than that of females with a significant difference (χ2 = 2 610.03, P <0.001). The city reported a total of 3 340 laboratory-confirmed cases, of which the highest EV71 infection cases (84.43%). Conclusion Prevention of hand, foot and mouth disease should be comprehensive prevention and control measures to strengthen the epidemic and etiological monitoring, strengthen health education, good 5 years of age children and hand-foot-mouth disease prevention and control work is the prevention and control focus.