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目的了解2008—2014年湖南省桃源县手足口病(HFMD)流行病学特征和规律,为制定有效的防控措施提供依据。方法利用中国疾病预防控制信息系统收集2008—2014年桃源县HFMD病例数据以及流行病学调查报告进行描述分析。结果桃源县2008—2014年共报告HFMD病例8 272例,其中重症病例127例,死亡6例。发生聚集性疫情122起,暴发疫情3起。桃源县2008—2014年HFMD年发病率波动在37.19/10万~243.98/10万之间。男女发病性别比为1.64∶1,93.01%的病例集中在5岁及以下儿童,以散居儿童、托幼儿童为主,报告实验室诊断病例438例(占总病例数的5.29%),重症(死亡)病例以肠道病毒71型(EV71)感染为主,占62.20%。结论桃源县HFMD流行强度近年有上升趋势,且具有明显的地区、年龄、性别和季节差异,应做好5岁及以下儿童HFMD防控工作,重点关注留守儿童。
Objective To understand the epidemiological characteristics and rules of hand-foot-mouth disease (HFMD) in Taoyuan County of Hunan Province from 2008 to 2014 and provide the basis for effective prevention and control measures. Methods China Disease Prevention and Control Information System to collect 2008-2014 Taoyuan County HFMD case data and epidemiological survey description. Results A total of 8 272 HFMD cases were reported in Taoyuan County during 2008-2014, of which 127 were severe cases and 6 died. Occurred in 122 cases of outbreaks, outbreaks 3. The annual incidence of HFMD in Taoyuan County fluctuated between 37.19 / 100,000 and 243.98 / 100,000 in 2008-2014. Male and female incidence of sex ratio was 1.64:1, 93.01% of the cases were concentrated in children 5 years of age and below, mainly in scattered children, nurseries and kindergarten, 438 cases of laboratory diagnosis reported (5.29% of the total number of cases), severe Death) cases of enterovirus 71 (EV71) infection, accounting for 62.20%. Conclusion The prevalence of HFMD epidemic in Taoyuan County has been on the rise in recent years with obvious regional, age, sex and seasonal differences. HFMD prevention and control should be done for children 5 years old and below with a focus on left-behind children.