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目的掌握东海县手足口病发生的流行特征,为制定本县手足口病防制对策提供科学依据。方法采用描述性流行病学方法对2008-2011年手足口病病例进行分析,用Epi Info 3.5.1版进行统计分析。结果 2008-2011年全县手足口病累计报告病例数为1 394例,其中41例重症、1例死亡,发病率分别为11.93/10万、34.20/10万、29.07/10万、47.99/10万,年均发病率为30.80/10万,发病呈现逐年增加趋势。发病高峰为5~6月份,发病为5岁以下儿童,以1~2岁儿童发病最多,男童多于女童;实验室检测以EV71病毒阳性率比例高,且重症病例均为EV71病毒感染所致。结论东海县手足口病发生呈现上升趋势,5岁以下儿童为高发人群,预防EV71感染,早发现和救治重症病例,降低病死率,是防控重点。
Objective To grasp the epidemiological characteristics of hand-foot-mouth disease in Donghai County and provide a scientific basis for the prevention and control measures of hand-foot-mouth disease in this county. Methods Descriptive epidemiological methods were used to analyze HFMD cases from 2008 to 2011 and statistical analysis was conducted with Epi Info version 3.5.1. Results A total of 1 394 HFMD cases were reported in 2008-2011 in the county, of which 41 cases were severe and 1 died. The incidence rates were 11.93 / 100 000, 34.20 / 100 000, 29.07 / 100 000, 47.99 / 10 Million, the average annual incidence rate of 30.80 / 100000, the incidence showed an increasing trend year by year. Incidence peak of 5 to 6 months, the incidence of children under 5 years of age, 1 to 2-year-old children most frequently, boys than girls; laboratory tests to EV71 virus positive rate is high, and severe cases are EV71 virus infection To Conclusion The incidence of hand-foot-mouth disease in Donghai County is on the rise. Children under 5 years of age are high risk population. Prevention of EV71 infection, early detection and treatment of severe cases and reduction of case fatality rate are the key points of prevention and control.