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目的描述上海市金山区2012年幼托机构手足口病聚集性疫情的流行特征。方法通过对“中国疾病监测信息报告系统”收集的金山区2012年幼托机构手足口病聚集性疫情病例三间分布特征、病原学等资料进行分析。结果金山区2012年幼托机构手足口病聚集性病例疫情共报告59起,累计发病214人,平均罹患率为12.36%(5.13%~28.00%);疫情主要分布在石化街道(18.64%,11/59),山阳镇(16.95%,10/59)、枫泾镇(15.25%,9/59);报告高峰在4-6月(59.32%,35/59);采样的37起疫情中EV71感染4起;CoxA16感染20起,除EV71、CoxA16的其他肠道病毒感染4起。结论幼托机构作为金山区手足口病防控工作的重点场所,应加强对幼托机构手足口病防治知识培训,提高手足口病聚集性病例事件报告敏感性和及时性。
Objective To describe the epidemiological characteristics of HFMD epidemic in the kindergartens in Jinshan District of Shanghai in 2012. Methods By analyzing the distribution characteristics and pathogenicity of HFMD cluster cases collected from Jinshan District in 2012 by China Disease Surveillance Information Reporting System. Results A total of 59 cases of HFMD cases were reported in the kindergarten in Jinshan district in 2012, with a cumulative incidence of 214 persons and an average of 12.36% (5.13% -28.00%) of the total. The outbreaks were mainly found in the streets of Petrochemical (18.64%, 11 / 59), Shanyang Town (16.95%, 10/59) and Fengjing Town (15.25%, 9/59); the peak was reported in April-June (59.32%, 35/59) Four EV71 infections, twenty CoxA16 infections, and four other CoxA16 enterovirus infections in addition to EV71. Conclusion As a key site of prevention and control of hand, foot and mouth disease in Jinshan District, child care institution should strengthen the training on knowledge of prevention and treatment of hand foot and mouth disease and improve the sensitivity and timeliness of aggregated case report of hand foot and mouth disease.