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目的分析天津市滨海新区2010—2015年手足口病流行特征和空间分布特点,为控制手足口病提供科学依据。方法收集天津市滨海新区2010—2015年中国疾病监测信息报告管理系统中手足口病个案信息,采用描述流行病学方法和应用地理信息系统技术进行分析。结果天津滨海新区2010—2015年共报告手足口病18 163例,3个功能区均有手足口病病例报告。2010年报告3 672例;2011年3 108例;2012年3 826例;2013年1 799例;2014年3 735例;2015年2 023例,发病率分别为262.33/10万、125.21/10万、152.79/10万、69.75/10万、139.12/10万和73.21/10万。发病集中在5岁以下儿童,共计15 898例,占总发病数的87.53%。结论手足口病的发生有明显的年龄和地区差异,应加强手足口病监测、预警工作,防控关键地区在塘沽功能区,重点人群是5岁以下幼托儿童和散居儿童。
Objective To analyze the epidemiological characteristics and spatial distribution characteristics of hand-foot-mouth disease in Binhai New Area of Tianjin from 2010 to 2015 and provide a scientific basis for the control of hand-foot-mouth disease. Methods The case information of hand, foot and mouth disease in China’s disease surveillance information report management system 2010-2015 was collected from Binhai New Area, Tianjin, and the descriptive epidemiological method and GIS technology were used for the analysis. Results A total of 18 163 hand-foot-mouth disease cases were reported in Tianjin Binhai New Area from 2010 to 2015. Cases of hand-foot-mouth disease were reported in all three functional areas. 3 672 cases reported in 2010; 3 108 cases in 2011; 3 826 cases in 2012; 1 799 cases in 2013; 3 735 cases in 2014; and 2 023 cases in 2015, with incidence rates of 262.33 / 100,000 and 125.21 / 100,000 respectively , 152.79 / 100,000, 69.75 / 100,000, 139.12 / 100,000 and 73.21 / 100,000. The incidence was concentrated in children under 5 years old, a total of 15 898 cases, accounting for 87.53% of the total number of cases. Conclusion The occurrence of hand, foot and mouth disease has obvious age and regional differences. Hand-foot-mouth disease monitoring and early-warning should be strengthened to prevent and control the key areas in Tanggu Functional Area. The key population is preschool child and diaspora below 5 years old.