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目的了解手足口病流行病学特征和流行因素,探讨防制对策。方法整理《国家疾病监测信息报告管理系统》中手足口病监测资料,用描述性流行病学法分析。结果 2009—2012年万安县共报告手足口病310例,年均发病率25.46/10万,重症17例,无死亡病例,病原以EV71为主;2011年发病率(63.98/10万)高于其他年份,重症16例(5.5%);各乡(镇)均病例报告,以平原乡(镇)为主;发病主要在4~6月(72.9%),比全国发病高峰提前1个月;0~3岁占90.3%,1~2岁占0~3岁的76.8%;散居儿童占91.6%;男女性别比2.26∶1。结论万安县手足口病流行强度较高,防治重点应放在每年的4~6月和1~2岁散居儿童。
Objective To understand the epidemiological characteristics and epidemic factors of hand-foot-mouth disease and to explore the control strategies. Methods To organize the monitoring data of hand, foot and mouth disease in “National Disease Surveillance Information Reporting Management System”, using descriptive epidemiological analysis. Results A total of 310 HFMD cases were reported in Wanan County from 2009 to 2012, with an average annual incidence of 25.46 / 100 000, severe cases of 17 cases and no deaths. The pathogen was mainly EV71. The incidence in 2011 was 63.98 / 100 000 In other years, severe cases were reported in 16 cases (5.5%). Cases in each township (town) were mainly reported in Pingyuan township (town). The incidence was mainly in April to June (72.9%), one month earlier than the national peak ; 0 to 3 years old accounted for 90.3%, 1 to 2 years old accounted for 76.8% of 0 to 3 years old; scattered children accounted for 91.6%; male to female ratio 2.26: 1. Conclusion The prevalence of hand, foot and mouth disease in Wanan County is relatively high. Prevention and treatment should focus on April to June of each year and children aged 1-2 years.