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目的分析廊坊市2010—2013年手足口病发病情况,了解手足口病的流行规律,为制定手足口病防控策略提供科学依据。方法采用描述性流行病学方法对2010—2013年廊坊市手足口病流行情况进行分析。结果 2010—2013年全市共报告手足口病21 848例,各年发病率分别为188.74/10万、81.79/10万、116.04/10万和124.76/10万,年均发病率为126.70/10万。发病率居前3位的县(市)依次为三河市(258.50/10万)、香河县(227.51/10万)、大厂县(213.77/10万)。发病高峰主要集中在5―7月,共发病16 402例,占总发病数的75.07%。男性发病13 300例,发病率为151.13/10万;女性发病8 548例,发病率为103.15/10万;男性发病率高于女性(P<0.01)。发病年龄主要集中在≤5岁年龄组,共发病20 409例,占病例总数的93.41%;病例职业以散居儿童为主,共发病16 379例,占病例总数的74.97%。结论廊坊市手足口病发病具有明显的季节特征和人群特征,应采取以加强5岁及以下散居儿童监管为主的综合防控措施,进一步防控手足口病的流行。
Objective To analyze the incidence of HFMD in 2010-2013 in Langfang, understand the prevalence of HFMD and provide a scientific basis for the prevention and control of HFMD. Methods Descriptive epidemiological methods were used to analyze the prevalence of HFMD in Langfang from 2010 to 2013. Results A total of 21 848 hand-foot-mouth disease cases were reported in the city from 2010 to 2013, with annual incidence rates of 188.74 / 100000, 81.79 / 100000, 116.04 / 100000 and 124.76 / 100000 respectively, with an average annual incidence of 126.70 / 100000 . The top 3 counties (cities) were Sanhe City (258.50 / 100,000), Xianghe County (227.51 / 100,000) and Dachang County (213.77 / 100,000). The peak incidence mainly concentrated in May-July, a total of 16 402 cases, accounting for 75.07% of the total number of cases. There were 13 300 cases of males, with an incidence rate of 151.13 / 100 000. There were 8 548 females with the incidence of 103.15 / 100 000. The incidence of males was higher than that of females (P <0.01). The age of onset was mainly in the age group of ≤5 years, with a total of 20,409 cases, accounting for 93.41% of the total cases. The cases were mainly scattered children, with a total of 16,379 cases, accounting for 74.97% of the total cases. Conclusion The incidence of hand-foot-mouth disease in Langfang City has obvious seasonal characteristics and population characteristics. Comprehensive prevention and control measures should be taken to strengthen the supervision of scattered children aged 5 years and below, so as to further prevent and control the prevalence of hand-foot-mouth disease.