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目的了解2010年济南市手足口病流行病学和病原学特征,为制订防制策略提供科学依据。方法应用描述流行病学方法对济南市2010年手足口病疫情资料和病原学监测资料进行分析。结果 2010年济南市报告手足口病病例12 721例,发病率205.97/10万。市区发病率(277.94/10万)高于郊县(166.12/10万),且城乡结合部发病较为集中;15～34周为发病高峰,共10 129例,占全年病例数的79.62%,2010年首次出现秋冬季发病小高峰。男性7 526例,女性5 195例,男女比为1.45︰1;5岁以下幼儿发病11 377例,占89.34%;病例散居儿童和幼托儿童较多,分别占53.42%(6 795例)和43.47%(5 530例)。全市共报告本地手足口病重症病例21例,死亡2例,4～8月是重症病例高发期。本地实验室诊断病例563例,优势毒株为CAV16(263例)。结论济南市手足口病疫情较严重,加强健康教育,早期发现和处理聚集性疫情,强化医疗救治是预防和控制手足口病疫情的关键措施。
Objective To understand the epidemiological and etiological characteristics of hand, foot and mouth disease in Jinan City in 2010 to provide a scientific basis for formulating prevention and control strategies. Methods Epidemiological methods were used to analyze the epidemic data and etiological surveillance data of HFMD in Jinan City in 2010. Results In 2010, Jinan City reported 12 721 HFMD cases, with a prevalence of 205.97 / 100 000. The incidence in the urban area was 277.94 / 100000 higher than that in the suburbs (166.12 / 100000), and the incidence of urban-rural junction was more concentrated. The peak incidence was 15-34 weeks, with a total of 10 129 cases, accounting for 79.62% , 2010 first appeared in autumn and winter peak incidence of small. There were 7 526 males and 5 195 females, with a male / female ratio of 1.45︰1. There were 11 377 cases (89.34%) of children younger than 5 years of age, with more cases of diaspora and childcare children accounting for 53.42% (6 795 cases) and 43.47% (5 530 cases). The city reported a total of 21 cases of hand, foot and mouth disease in Hong Kong, 2 cases of death, 4 to 8 months is the high incidence of severe cases. 563 cases were diagnosed locally, and the dominant strain was CAV16 (263 cases). Conclusion The epidemic situation of hand, foot and mouth disease is more serious in Jinan City. Strengthening health education, early detection and handling of epidemic situation and strengthening medical treatment are the key measures to prevent and control hand-foot-mouth disease.