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目的分析2006-2014年丹阳市云阳镇手足口病(HFMD)流行特征,为预防控制工作提供依据。方法通过国家疾病监测信息报告管理系统收集数据,采用描述性流行病方法对相关指标进行流行病学分析。结果 2006-2014年间全镇报告HFMD 2 312例,总发病率为124.30/10万,其中城郊接合部发病率最高,为341.17/10万;农村发病率次之,为150.14/10万;城区发病率最低,为96.84/10万。从发病数的年报告来看,2006年起,报告发病数逐年增加,2010年达到高峰,为455例。发病人群以散居儿童和托幼儿童为主,占92.3%。4-7月存在明显的发病高峰;发病男女性别比例为1.46:1,发病率男性高于女性。结论云阳镇手足口病的流行具有明显的地区、季节和人群特征。推广使用手足口病疫苗接种,加强城郊结合地区、农村地区儿童家长的健康意识教育和在托幼机构建立常规监测报告和预警机制是控制手足口病的关键。
Objective To analyze the epidemiological characteristics of hand-foot-mouth disease (HFMD) in Yunyang Town, Danyang City from 2006 to 2014, and provide a basis for prevention and control. Methods The data was collected through the national disease surveillance information reporting management system, and the descriptive epidemiological methods were used to analyze the epidemiological indexes. Results A total of 312 312 HFMD cases were reported in the town between 2006 and 2014, with a total incidence rate of 124.30 / 100 000, of which the highest incidence rate was 341.17 / 100 000 in suburban areas and 150.14 / 100,000 in rural areas. The lowest rate was 96.84 / 100,000. According to the annual reports of incidence, the number of reported cases has increased year by year since 2006, reaching a peak in 2010, reaching 455 cases. The incidence of patients to diaspora and child care-based children, accounting for 92.3%. From April to July there was a clear peak of incidence; the incidence of male to female ratio was 1.46: 1, and the incidence of male was higher than that of female. Conclusion The prevalence of hand-foot-mouth disease in Yunyang has obvious regional, seasonal and population characteristics. To promote the use of hand-foot-mouth disease vaccination, to strengthen the health awareness education of children’s parents in suburban areas and rural areas, and to establish regular monitoring reports and early-warning mechanisms in child-care institutions is the key to control hand-foot-mouth disease.