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目的分析浙江省宁海县手足口病流行特征,探讨适宜的防控措施。方法收集国家疾病监测信息报告管理系统手足口病个案资料,采用描述性流行病学方法进行分析比较。结果 2009-2011年宁海县共报告手足口病7217例,死亡1例;2009-2011年分别报告2648、2509和2060例,报告发病率分别为454.44/10万、425.24/10万和313.89/10万;2009年和2011年无重症及死亡病例报告,2010年报告重症3例,死亡1例。2009年和2010年手足口病病原体以肠道病毒71型(EV71)为主,2011年由EV71转化为柯萨奇病毒A组16型(Cox A16)。结论2009-2011年宁海县手足口病疫情呈逐年下降态势,病原学由EV71转化为Cox A16,疫情具有地区持续性。
Objective To analyze the epidemic characteristics of hand, foot and mouth disease in Ninghai County, Zhejiang Province, and to explore appropriate prevention and control measures. Methods The data of hand, foot and mouth disease of national disease monitoring information reporting management system were collected and analyzed by descriptive epidemiological method. Results A total of 7217 cases of hand-foot-mouth disease and 1 death were reported in Ninghai from 2009 to 2011. A total of 2648,2509 and 2060 cases were reported in 2009-2011. The reported rates were 454.44 / 100000, 425.24 / 100000 and 313.89 / 10 respectively In 2009 and 2011, there were no reports of severe cases and deaths. In 2010, 3 cases were reported as severe and 1 died. The pathogens of hand-foot-mouth disease in 2009 and 2010 were mainly enterovirus 71 (EV71) and in 2011 they were transformed into Cox-A16 (Cox A16). Conclusion The epidemic situation of hand-foot-mouth disease in Ninghai County showed a declining trend from 2009 to 2011. The etiology was evolved from EV71 to Cox A16.