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目的分析东莞市2008-2009年手足口病流行病学特征,为制定有效防控措施提供科学依据。方法描述性分析东莞市2008-2009年网络直报的手足口病资料。结果东莞市2008-2009年共报告手足口病病例12687例,年均发病率为87.21/10万,其中2008年发病率为46.26/10万,2009年发病率为128.16/10万,不同年份间发病率的差异具有统计学意义(P<0.01);发病主要集中在4-7月,占总病例数的56.59%;我市各镇(街)均有病例报告,发病率最高为大朗镇(364.64/10万),最低为长安镇(34.05/10万),不同地区间发病率差异具有统计学意义(P<0.01);发病主要集中在5岁以下儿童,占总病例数的91.09%;以散居儿童为主,占总病例数的76.81%;男性发病率高于女性;两年间共报告暴发疫情22起,罹患率为0.48%～14.58%,时间集中在4-6月份。结论手足口病是东莞市重点防控的传染病之一,应加强疫情监测和控制,防止其暴发流行。
Objective To analyze the epidemiological characteristics of HFMD in Dongguan from 2008 to 2009 and provide scientific evidence for effective prevention and control measures. Methods Descriptive analysis of hand-foot-mouth disease data in Dongguan city from 2008 to 2009. Results A total of 12 687 cases of HFMD were reported in Dongguan from 2008 to 2009, with an average annual incidence of 87.21 / 100 000, of which 46.26 / 100 000 in 2008 and 128.16 / 100 000 in 2009. In different years (P <0.01). The incidence mainly concentrated in April-July, accounting for 56.59% of the total number of cases. All the towns (streets) in our city had case reports with the highest incidence rate of Dalang Town (364.64 / 100000), and the lowest was Changan Town (34.05 / 100000). There was significant difference in incidence among different regions (P <0.01). The incidence mainly concentrated in children under 5 years old, accounting for 91.09% . The majority of children were scattered children, accounting for 76.81% of the total number of cases. The incidence rate of males was higher than that of females. A total of 22 outbreaks were reported in two years, with the attack rates ranging from 0.48% to 14.58%. The time was concentrated in April to June. Conclusion HFMD is one of the key infectious diseases in Dongguan City. Monitoring and control of the epidemic should be strengthened to prevent its outbreak.