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[目的]了解上海市某区2005~2007年手足口病流行特征,为制订合理的防控措施提供依据。[方法]对2005~2007年辖区医院报告的临床诊断手足口病病例情况进行分析,结合实际提出控制策略。[结果]3年中辖区医院共报告临床诊断手足口病病例3406例。发病年龄以5岁以下儿童为主,占93.83%。职业以散居、幼托儿童为主,占96.18%;其中幼托儿童与散居儿童比例为1.73︰1。发病高峰集中在每年6~7月,占58.81%。[结论]5岁以下儿童是手足口病高发人群,加大对托幼机构和流动儿童集聚地疫情监测和消毒隔离管理、完善疫情暴发后应急处置体系,是防止疫情暴发,有效控制疫情的关键。
[Objective] To understand the epidemic characteristics of HFMD in a district of Shanghai from 2005 to 2007, and provide the basis for formulating reasonable prevention and control measures. [Methods] The clinical diagnosis of hand-foot-mouth disease cases reported in the area hospitals from 2005 to 2007 were analyzed, and the control strategies were put forward based on the actual situation. [Results] A total of 3,406 cases of hand-foot-mouth disease were diagnosed in the hospitals in the area during 3 years. Age of onset to children under 5 years of age, accounting for 93.83%. Occupations to diathesis, child care-based children, accounting for 96.18%; of which child care child care and scattered ratio of 1.73: 1. The peak incidence concentrated in June to July every year, accounting for 58.81%. [Conclusion] The children under 5 years of age are the most HFMD population. Increasing the surveillance and disinfection and isolation management on the outbreaks of nurseries and migrant children and the improvement of the emergency disposal system after the outbreak of the outbreak are the key points to prevent the outbreak and effectively control the epidemic .