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目的分析三明市手足口病监测结果,为制定防控策略提供依据。方法用描述性流行病学方法,对2009—2011年三明市手足口病疫情及哨点医院监测情况进行分析。结果 2009—2011年全市累计报告手足口病7 119例,年均发病率90.47/10万,重症35例(0.5%),其中死亡3例;发病主要集中在4～11月(83.9%),高峰为4～6月和9～11月;男女比例1.79∶1,以散居、幼托儿童和学生居多(99.2%);0～5岁占96.5%,其中≤3岁儿童占87.0%。共采集手足口病标本577份,核酸阳性率39.2%;重症及死亡病例以EV71为主(68.6%)。结论加强手足口病监测,做好以散居儿童为主的重点人群、以托幼机构为主的重点场所的防控措施是关键。
Objective To analyze the monitoring results of hand-foot-mouth disease in Sanming City and provide the basis for making prevention and control strategies. Methods Descriptive epidemiological methods were used to analyze the epidemic situation of hand-foot-mouth disease and the surveillance of sentinel hospitals in Sanming during 2009-2011. Results A total of 7,119 hand-foot-mouth disease cases were reported in the city from 2009 to 2011, with an average annual incidence of 90.47 / lakh and 35 severe cases (0.5%), including 3 deaths. The incidence mainly concentrated in 4-11 months (83.9%), The peak was from April to June and from September to November. The ratio of male to female was 1.79: 1, with the majority of children and students living in preschool children (99.2%) and 96.5% of children aged 0-5 years (87.0%). A total of 577 hand-foot-mouth disease samples were collected, the positive rate of nucleic acid was 39.2%. The severe and fatal cases were mainly EV71 (68.6%). Conclusion To strengthen the monitoring of hand-foot-mouth disease and do a good job of focusing on scattered children, the key prevention and control measures in the key places with kindergartens and nurses are the key.