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目的分析汝城县2010-2012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。方法用描述性流行病学方法,对汝城县手足口病疫情报告资料进行统计分析。结果 2010-2012年汝城县共报告手足口病1 472例,死亡4例,发病率有急剧上升趋势。手足口病有明显的季节性发病高峰,主要集中在4-7月,2012年发病时间明显提前,集中在3-6月;发病年龄主要集中在≤5岁年龄组,占发病总数的93.88%,≤3岁年龄组为发病高危人群,占发病总数的75.85%;发病男性高于女性;发病以散居儿童为主(占92.84%);病原监测结果显示病原体有EV71型、CoxA16型和其它肠道病毒,优势毒株每年变化,2012年主要由EV71型感染为主,占送检标本的81.63%。结论汝城县手足口病疫情较重,加强3岁以下散居儿童监管为主、早期识别重症早期症状的综合防治策略,减少手足口病的发病和死亡。
Objective To analyze the incidence of HFMD in Rucheng County from 2010 to 2012, understand the prevalence of HFMD, and provide a scientific basis for the prevention and control strategy of HFMD. Methods Descriptive epidemiological methods were used to analyze the data of the outbreak of HFMD in Rucheng County. Results A total of 1 472 HFMD cases and 4 deaths were reported in Rucheng County from 2010 to 2012, with a sharp upward trend in incidence. Hand-foot-mouth disease has obvious seasonal peak, mainly in April-July, the onset time was significantly earlier in 2012, concentrated in 3-6 months; the incidence of age mainly in the age group ≤ 5 years, accounting for 93.88% , ≤3 years old group was high risk group, accounting for 75.85% of the total incidence; incidence of male than female; the incidence of diaspora mainly (accounting for 92.84%); pathogen surveillance showed EV71, CoxA16 and other intestinal pathogens Road virus, the dominant strains vary each year in 2012, mainly by EV71 infection, accounting for 81.63% of the seized specimens. Conclusion HFMD is endemic in Rucheng County. It is necessary to strengthen the supervision of diaspora in children under 3 years of age and identify early comprehensive prevention and treatment strategies for severe early symptoms to reduce the incidence and death of HFMD.