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目的分析2008-2013年湖北省神农架林区手足口病流行病学特点,为其手足口病防控提供科学依据。方法收集神农架林区疾病控制中心2008-2013年上报病例,以描述性流行病学统计方法,使用Excel 2013整理个案数据,SPSS 17.0进行统计分析。结果 2008-2013年神农架林区累计报告手足口病病例1 174例,无死亡病例。全年散发,5~7月及10~12月呈现2个高峰。全区8个乡镇均有报告,以人口相对集中的区域发病率高。年龄分布以1~4岁高,男女性别比为1.45:1。散居儿童发病率高于幼托儿童及学生,病原学上每年均有差异。6年来全区共报告4起突发公共卫生事件,年龄多集中于2~4岁组,发生地点主要在幼托机构及小学。结论神农架林区手足口病防控形势严峻。结合本地发病特点,对重点地方,高峰时段提前部署,加强监测,组织专业人员培训及对人群的健康宣教。
Objective To analyze the epidemiological characteristics of hand, foot and mouth disease in Shennongjia forestry area in Hubei Province from 2008 to 2013 and provide a scientific basis for the prevention and control of hand, foot and mouth disease. Methods The cases reported in the Disease Control Center of Shennongjia Forest Center from 2008 to 2013 were collected and analyzed by descriptive epidemiological method using Excel 2013 and SPSS 17.0. Results A total of 1 174 hand-foot-mouth disease cases were reported in Shennongjia forest area from 2008 to 2013, with no deaths. Distributed throughout the year, from May to July and from October to December showed two peaks. The eight townships in the region have all reported that the incidence in the area where the population is relatively concentrated is high. Age distribution of 1 to 4 years old, male to female ratio was 1.45: 1. The incidence of diaspora is higher than that of kindergarten children and students, and there are differences in etiology every year. Over the past six years, a total of 4 public health emergencies have been reported in the region, most of which are in the age group of 2 to 4 years old. The places of occurrence are mainly in kindergartens and primary schools. Conclusion The situation of hand-foot-mouth disease prevention and control in Shennongjia forest area is severe. Combined with the local incidence of characteristics, the deployment of key areas, peak hours ahead of schedule, to strengthen monitoring, training of professional staff and health education of the population.