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目的了解柏乡县2010年手足口病发病情况、流行特征,评价预防控制效果,为制定有效的预防控制对策提供依据。方法对辖区内医疗机构发现的手足口病病例进行流行病学调查及个案分析。结果共报告辖区内病例449例,发病率为231.78//10万。临床诊断422例,占94%;实验室诊断27例(EV71型病毒20例,COXA16型病毒7例),占6%。其中重症4例,占0.9%;死亡1例,占0.2%。发病高峰出现在9-11月,占71.5%。发病年龄集中在5岁以下儿童,占发病总数的93.8%。结论 2010年手足口病发病449例,是2009年发病数(249例)的2倍,明显上升。建立相应的疫情应急体系,采取各项有效措施可控制疫情及其造成的危害。
Objective To understand the incidence and epidemic characteristics of hand-foot-mouth disease in 2010 in Baixiang County, and to evaluate the effect of prevention and control so as to provide basis for making effective prevention and control measures. Methods Epidemiological investigation and case analysis of cases of hand-foot-mouth disease found in medical institutions in the area were conducted. Results A total of 449 cases were reported in the area of jurisdiction with a prevalence of 231.78 // 100,000. 422 cases were diagnosed clinically, accounting for 94%; 27 cases were diagnosed by laboratory test (20 EV71 and 7 COXA16), accounting for 6%. Among them, 4 cases were severe, accounting for 0.9%; 1 died, accounting for 0.2%. Peak incidence occurred in September-November, accounting for 71.5%. The age of onset concentrated in children under 5 years of age, accounting for 93.8% of the total. Conclusion The incidence of HFMD in 2010 was 449 cases, which was twice as high as that in 2009 (249 cases), which was significantly increased. Establish a corresponding emergency response system and take effective measures to control the epidemic and the harm it causes.