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目的了解2013年宿迁市手足口病流行病学和病原学特征,为制订防制策略提供科学依据。方法应用描述流行病学方法对宿迁市2013年手足口病疫情资料和病原学监测资料进行分析。结果 2013年宿迁市报告手足口病病例5 950例,发病率123.66/10万。4—6月为发病高峰,共3 882例,占全年病例数的65.24%。男性3 672例,女性2 278例,男女比为1.61∶1.00;5岁以下幼儿发病5 780例,占97.54%;病例散居儿童较多,占90.66%(5 394例)。全市共报告手足口病重症病例71例,无死亡病例,4—6月是重症病例高发期。实验室诊断病例176例,优势毒株为EV71(91例)。结论 2013年手足口病流行存在明显的季节、人群和地区差异,5岁以下幼托和散居儿童是手足口病防控的重点人群,重症病例防治的重点是EV71感染的防治。
Objective To understand the epidemiological and etiological characteristics of hand, foot and mouth disease in Suqian City in 2013, and to provide a scientific basis for formulating prevention and control strategies. Methods Descriptive epidemiological methods were used to analyze the epidemic data and etiological surveillance data of hand-foot-mouth disease in Suqian in 2013. Results In 2013, Suqian City reported 5 950 hand-foot-mouth disease cases with an incidence rate of 123.66 / 100 000. April to June peak incidence, a total of 3 882 cases, accounting for 65.24% of the annual number of cases. There were 3,672 males and 2 278 females, with a male / female ratio of 1.61: 1.00. The incidence of young children under the age of 5 was 5780, accounting for 97.54%. More cases were scattered among children, accounting for 90.66% (5 394 cases). The city reported a total of 71 cases of hand, foot and mouth disease in severe cases, no deaths, 4-6 months is the high incidence of severe cases. 176 cases of laboratory diagnosis, the dominant strain of EV71 (91 cases). Conclusions There were obvious seasonal, population and regional differences in the prevalence of HFMD in 2013. The children under 5 years of age were the key population for hand-foot-mouth disease prevention and control. The prevention and treatment of severe cases were the prevention and treatment of EV71 infection.