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目的分析近年来莱芜市手足口病发病态势及采取的防控措施,以有效防控手足口病。方法对2008-2012年中国疾病预防控制信息系统报告的手足口病病例进行分析。结果 2008-2012年莱芜市共报告手足口病病例8 967例,其中重症病例40例(占0.45%),无死亡病例。年均发病率是139.59/10万;男性发病高于女性,以散居儿童发病为主(占50.11%)。患者最小为3个月,最大为34岁,5岁以下病例7 981例,占发病总数的89.00%。手足口病病原学检测病优势病毒型别分别为2009年肠道病毒71型(Human enterovirus 71,EV 71)感染31例(100.00%),2010年柯萨奇病毒A16型(CoxsackievirusA16,Cox A16)感染53例(72.60%),2011年EV 71感染91例(85.05%),2012年其他肠道病毒感染50例(51.55%)。结论莱芜市手足口病的流行态势与病毒型别有关,发病人群以散居儿童为主。加强疫情监测,管理好传染源,做好托幼机构、学校等重点场所的管理,强化培训和宣传教育对防控手足口病有重要作用。
Objective To analyze the incidence of hand-foot-mouth disease in Laiwu City in recent years and the preventive and control measures taken to prevent it. Methods The cases of hand-foot-mouth disease reported by China’s disease control and prevention information system from 2008 to 2012 were analyzed. Results A total of 8 967 HFMD cases were reported in Laiwu City from 2008 to 2012, of which 40 were severe cases (0.45%) with no deaths. The average annual incidence rate was 139.59 / 100 000; the incidence of male was higher than that of female, and the incidence of scattered children was the main one (50.11%). The minimum patient was 3 months, the maximum was 34 years, and 7 981 cases under 5 years old accounted for 89.00% of the total. The prevalence of HFMD was 31 (100%) in 2009, and 71 in Coxsackievirus A16 (Cox A16) 53 cases (72.60%) were infected in 2011, 91 cases (85.05%) were infected with EV 71 in 2011 and 50 cases (51.55%) were other enterovirus infections in 2012. However, Conclusion The prevalence of hand-foot-mouth disease in Laiwu City is related to the type of virus. The majority of the patients in the epidemic are scattered children. Strengthen the surveillance of epidemics, manage sources of infection, do a good job management of key institutions such as kindergartens and schools, and strengthen training and publicity and education to prevent and control hand-foot-mouth disease.