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目的分析2012-2015年浙江省温州市鹿城区手足口病流行特征。方法对2012-2015年鹿城区中国疾病预防控制信息系统中上报的手足口病数据资料进行描述性流行病学分析。结果 2012-2015年全区共报告手足口病16654例,年均发病率320.82/10万。发病高峰为4-7月,占病例总数的57.93%。男女性别比1.52∶1。年龄分布以≤5岁儿童为主,占病例总数的93.01%。职业分布以散居儿童为主,占病例总数的78.66%;其次为幼托儿童,占17.74%,且有上升趋势,托幼机构有聚集发病现象。病原学监测结果 EV71、Cox A16和其他肠道病毒感染分别占43.63%、17.37%和40%。结论鹿城区手足口病具有明显的季节和人群分布特点,应加强病原学监测,重视5岁以下儿童家长的健康教育及落实托幼机构的防控工作。
Objective To analyze the epidemiological characteristics of HFMD in Lucheng District, Wenzhou City, Zhejiang Province from 2012 to 2015. Methods Descriptive epidemiological analysis of hand, foot and mouth disease data reported in China’s Disease Control and Prevention Information System from 2012 to 2015 in Lucheng District was performed. Results A total of 16,654 HFMD cases were reported in the region from 2012 to 2015, with an average annual incidence of 320.82 / 100,000. The peak incidence was from April to July, accounting for 57.93% of the total number of cases. Male to female ratio of 1.52: 1. Age distribution of children ≤ 5 years of age, accounting for 93.01% of the total number of cases. The occupational distribution is dominated by scattered children, accounting for 78.66% of the total number of cases; followed by preschool children, accounting for 17.74%. There is an upward trend in the distribution of kindergartens and nurseries. Etiological surveillance results EV71, Cox A16 and other enterovirus infections accounted for 43.63%, 17.37% and 40%. Conclusion Hand, foot and mouth disease in Lucheng District has obvious seasonal and crowd distribution characteristics. Etiological monitoring should be strengthened, health education for parents under 5 years old should be emphasized, and prevention and control of child care institutions should be implemented.