论文部分内容阅读
目的分析2009—2013年襄阳市手足口病重症病例流行病学特征和主要危险因素,为手足口病的防控提供科学依据。方法采用描述性流行病学方法,对2009—2013年襄阳市手足口病重症病例资料进行统计分析,对207例重症患者进行流行病学调查。结果 2009—2013年襄阳市共报告手足口病53 485例,年均发病率为194.072/10万,重症病例207例,死亡32例。4—7月为重症病例发病高峰,在冬季出现小高峰。男、女性别比为2.09∶1,年龄以0~5岁为主,散居儿童占77.78%。死亡病例均为3岁以下儿童,重症病例病原学检测以肠道病毒71型(EV71)为主,占81.64%。结论襄阳市手足口病流行形势较为严峻,重症及死亡病例时有发生,应重点关注4—7月疫情,防控重点对象是3岁以下散居儿童及肠道病毒71型(EV71)阳性感染者。
Objective To analyze the epidemiological characteristics and major risk factors of HFMD in Xiangyang from 2009 to 2013 so as to provide a scientific basis for prevention and control of HFMD. Methods Descriptive epidemiological methods were used to analyze the data of severe cases of hand-foot-mouth disease in Xiangyang from 2009 to 2013. The epidemiological investigation of 207 severe cases was conducted. Results A total of 53 485 hand-foot-mouth disease cases were reported in Xiangyang from 2009 to 2013, with an average annual incidence of 194.072 / 100,000. There were 207 severe cases and 32 deaths. April-July peak incidence of severe cases, small peaks in winter. Male and female ratio was 2.09: 1, with the age of 0-5 years old and scattered children accounting for 77.78%. The deaths were all children under 3 years old. The etiological tests of severe cases were mainly Enterovirus 71 (EV71), accounting for 81.64%. Conclusion The epidemic situation of hand-foot-mouth disease in Xiangyang City is more serious and severe cases and deaths occur frequently. The epidemic situation in April-July should be focused on. The focus of prevention and control is that children under 3 years of age and EV71-positive patients .