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目的了解将乐县手足口病流行病学特征,为制定防控措施提供依据。方法用描述性流行病学方法,对将乐县2008—2015年手足口病疫情资料进行分析。结果将乐县2008—2015年共报告手足口病1 793例,无重症和死亡。年均发病率144.22/10万,2014年发病率最高(543.09/10万)。全县各乡镇均有病例报告,水南镇年均发病率最高(377.55/10万);3~6月(53.9%)和10~12月(31.4%)为发病高峰;男性发病率(182.53/10万)比女性(102.35/10万)高;病例主要在<4儿童(90.9%),1岁组发病率最高(3 765.27/10万);报告病例前3位是散居儿童(79.5%)、幼托儿童(18.6%)和学生(1.5%)。病原检出率93.5%(130/139),其中EV71占61.5%,CoxA16占23.1%,其它肠道病毒占15.4%。结论将乐县手足口病有明显的地区性、时间性和人群差异,应加强防控,保障儿童健康。
Objective To understand the epidemiological characteristics of hand-foot-mouth disease in Jiangle County and provide the basis for the development of prevention and control measures. Methods Descriptive epidemiological methods were used to analyze the epidemic data of hand-foot-mouth disease in Jiangle County from 2008 to 2015. Results A total of 1 793 HFMD cases were reported from 2008 to 2015 in Le County without severe illness and death. The average annual incidence was 144.22 / 100000, the highest incidence in 2014 (543.09 / 100000). There were case reports in all towns and villages in the county, with the highest average annual incidence (377.55 / 100000) in Shui Nanzhen; peak incidence in March-June (53.9%) and in October and December (31.4%); / 100,000) were higher than those of women (102.35 / 100000); the highest prevalence was in <4 children (90.9%) and the highest in age group 1 (3765.27 / 100000); the first 3 reported cases were scattered children ), Childcare children (18.6%) and students (1.5%). The detection rate of pathogens was 93.5% (130/139), of which 61.5% were EV71, 23.1% were CoxA16 and 15.4% were other enteroviruses. Conclusion There are obvious regional, time-related and population differences in hand, foot and mouth disease in Le County. Prevention and control should be strengthened to protect children’s health.