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目的了解我市手足口病流行特征,为制订科学合理的防控措施提供依据。方法对2009年网络直报系统归属为本辖区内的10 084例手足口病病例进行流行病学分析。结果 2009年全市共报告手足口病10 084例,发病率为144.26/10万;农村人口发病率高于市区人口,发病比为4.89∶1.00;发病有明显季节性,4月开始上升5月份达高峰,9月开始下降。年龄分布以5岁以下为主,占总疫情的96.29%,尤其以1~3岁组高发;职业分布以散居儿童高发;男女性别之比1.74∶1.00,男孩多发。重症病例147例,占总疫情的1.46%,其中EV71感染占阳性数的57.73%,CoxA16病毒感染占28.87%。结论邢台市手足口病防控形势严峻,手足口病的发生有明显的年龄和季节差异,今后的防控重点应该放在5岁以下年龄组,以及托幼机构,对于手足口病患者应提高警惕,及早救治,加强健康教育,同时加强手足口病监测工作。
Objective To understand the epidemic characteristics of HFMD in our city and provide the basis for the development of scientific and reasonable prevention and control measures. Methods The epidemiological analysis of 10 084 cases of hand-foot-mouth disease in 2009 was conducted in this area. Results In 2009, a total of 10 084 HFMD cases were reported in the city, with an incidence rate of 144.26 / 100 000. The incidence of rural population was higher than that of urban population, with an incidence ratio of 4.89:1.00. The incidence was obviously seasonal and began to rise in April Peak, in September began to decline. The distribution of age was mainly under 5 years old, accounting for 96.29% of the total, especially in the age group of 1 to 3 years old. The occupational distribution was high in scattered children. The ratio of male to female was 1.74: 1.00, with many boys. 147 cases of severe cases, accounting for 1.46% of the total outbreak, in which EV71 infection accounted for 57.73% of the positive number, CoxA16 virus infection accounted for 28.87%. Conclusion The prevention and control of hand, foot and mouth disease in Xingtai City is severe. The occurrence of hand, foot and mouth disease has obvious age and season difference. The focus of future prevention and control should be placed on the age group of under 5 years old and nurseries, and the patients with HFMD should be improved Vigilance, early treatment, strengthen health education, and strengthen hand, foot and mouth disease monitoring.