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目的了解临淄区2009~2015年手足口病流行病学特征及病原学检测情况,为制定防控措施提供依据。方法运用描述流行病学方法,对来源于国家疾病监测报告信息系统的病例信息进行分析。结果 2009~2015年临淄区共报告手足口病病例5 255例,无死亡病例。12处镇/街道均有发病,位于城乡结合部的街道发病率高。疫情呈现隔年高发现象,季节分布呈双峰型。5岁及以下儿童占报告发病数的91.68%(4 818/5 255),散居儿童发病率(2 074.21/10万)高于托幼儿童(1 725.11/10)万(P<0.01)。累计报告实验室确诊病例320例,其中肠道病毒71型(EV71)比例最高,占37.19%(119/320)。结论临淄区的手足口病以肠道病毒EV71感染为主,应加强5岁以下及散居儿童防控工作。
Objective To understand the epidemiological characteristics and pathogen detection of HFMD in Linzi District from 2009 to 2015 and provide basis for prevention and control measures. Methods Descriptive epidemiological methods were used to analyze case information from national disease surveillance reporting information systems. Results A total of 5 255 cases of hand-foot-mouth disease were reported in Linzi District from 2009 to 2015 with no deaths. 12 towns / streets have onset, located in the urban and rural areas with high incidence of street. The epidemic showed a high incidence next year, the seasonal distribution was bimodal. Children aged 5 years and below accounted for 91.68% (4818/5255) of the reported cases, while the incidence of diaspora (2074.21 / 100000) was higher than that of childcare children (1725.11/10) (P <0.01). A total of 320 laboratory confirmed cases were reported, with the highest proportion of enterovirus 71 (EV71) accounting for 37.19% (119/320). Conclusion Hand, foot and mouth disease in Linzi District is mainly caused by enterovirus EV71 infection. Prevention and control of children under 5 years of age and diaspora should be strengthened.