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目的了解江苏省东海县手足口病流行病学特点,为制定预防控制措施提供科学依据。方法采用描述流行病学方法,对东海县2011年法定传染病报告系统的手足口病疫情资料进行分析。结果 2011年全县共报告手足口病病例543例,发病率为47.18/10万。其中重症病例17例;男性60.45/10万,女性32.86/10万,差异有统计学意义(P<0.01)。病例主要集中在4～10月,占90.98%;全县21个乡镇均有病例发生,牛山镇发病最多89例,占16.39%;温泉镇发病最少6例,占1.1%。发病年龄最小的3个月,最大的11岁,3岁及以下幼儿占病例总数的94.84%。实验室确诊152例,其中肠道病毒71型感染128例,占84.21%。结论 2011年东海县手足口病发病以幼儿为主,应加强疫情监测和宣传教育力度,做好病原学检测,防止其暴发流行。
Objective To understand the epidemiological characteristics of hand, foot and mouth disease in Donghai County, Jiangsu Province, and to provide a scientific basis for making prevention and control measures. Methods Descriptive epidemiological methods were used to analyze the data of hand-foot-mouth disease outbreaks in the legal infectious disease reporting system of Donghai County in 2011. Results In 2011, a total of 543 HFMD cases were reported in the county, with an incidence of 47.18 / 100 000. Among them, 17 cases were severe cases. There were 60.45 / 100000 males and 32.86 / 100 females, the difference was statistically significant (P <0.01). The cases mainly concentrated in 4 to 10 months, accounting for 90.98%; 21 cases were found in the county, with a maximum of 89 cases in Niushan, accounting for 16.39%; the lowest incidence was in Wenquan, accounting for 1.1%. The youngest age of 3 months, the largest 11-year-old, children aged 3 and below accounted for 94.84% of the total number of cases. Laboratory confirmed 152 cases, of which 128 cases of enterovirus 71 infection, accounting for 84.21%. Conclusion The occurrence of HFMD in Donghai County in 2011 is dominated by young children. Efforts should be made to monitor and publicize the outbreak of epidemics and do good pathogenic tests to prevent their outbreak.