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目的了解2007~2009年济南市手足口病发病特征及流行趋势,为制订防治策略提供科学依据。方法应用描述流行病学方法对济南市2007~2009年手足口病疫情资料进行分析。结果 2007~2009年济南市手足口病报告发病数为17 314例,年均发病率94.10/10万。市区年均发病率142.72/10万,郊县年均发病率67.08/10万,市区发病率显著高于郊县,且城乡结合部发病较为集中;4~8月为高发高峰,占全年发病的88.47%;男女发病数之比为1.56∶1,男、女性发病率分别为113.21/10万和74.45/10万,男性高于女性;5岁以下幼儿发病15 792例,占91.21%;以散居儿童和幼托儿童发病较多,分别占54.82%和40.29%;84.83%的病例于发病3 d内就诊。2008和2009年济南市手足口病流行优势毒株为EV71。结论济南市手足口病的防控应强化医疗救治,持续加强疫情监测和宣传教育,防止暴发流行。
Objective To understand the incidence and epidemic trend of hand-foot-mouth disease in Jinan from 2007 to 2009, and provide a scientific basis for formulating prevention and control strategies. Methods Epidemiological methods were used to analyze the data of HFMD in Jinan from 2007 to 2009. Results The reported incidence of HFMD in Jinan from 2007 to 2009 was 17 314, with an average annual incidence of 94.10 / 100,000. The average annual incidence of urban areas was 142.72 / 100000, the average annual incidence of suburbs was 67.08 / 100000, the incidence of urban areas was significantly higher than that of suburbs, and the incidence of urban-rural combination was more concentrated; 4 to August is the peak, accounting for The incidence of males and females was 1.56:1. The morbidity rates of males and females were 113.21 / 100000 and 74.45 / 100000 respectively, which were higher in males than in females. The incidence of juveniles under 5 years old was 15 792, accounting for 91.21% The incidence of diaspora and kindergarten children were higher, accounting for 54.82% and 40.29% respectively; 84.83% of cases were seen within 3 days of onset. In 2008 and 2009, Jinan City, the prevalence of hand, foot and mouth disease strains EV71. Conclusion Prevention and control of hand, foot and mouth disease in Jinan should be strengthened medical treatment, and continue to strengthen epidemic situation monitoring and publicity and education to prevent the outbreak.