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目的了解2009-2013年湖北省宜都市手足口病流行特征,为手足口病的防控和应对提供依据。方法根据病例的发病时间,分别按不同年龄组、性别、地区、职业对2009-2013年全市手足口病例的发病数及病例病原学构成进行统计比较。结果 2009-2013年宜都市手足口病共报告2 386例,其中实验室确诊77例,均为轻症病例,无重症及死亡病例。根据宜都市手足口病流行特征,2009-2013年宜都市手足口病报告发病率总体为每年4-5月(41.0%)和11-12月(33.2%)呈现主次发病高峰期;发病乡镇多集中在陆城、枝城、高坝洲这几个人口密集、交通便利、流动人口多的乡镇;发病年龄以4岁及以下人群(90.25%)为主;发病职业以幼托儿童(45.23%)、散居儿童(47.54%)为主;男女性别比为1.5∶1。结论 2009-2013年宜都市手足口病具有明显的性别、年龄、地区、季节差异,4岁及以下儿童是手足口病防控工作的重点人群。
Objective To understand the epidemiological characteristics of HFMD in Yidu City, Hubei Province from 2009 to 2013, and provide evidence for prevention and control of HFMD. Methods According to the onset time of the cases, the incidences of cases of hand-foot-mouth from 2009 to 2013 and the etiopathogenisis of cases were statistically compared according to different age groups, sex, regions and occupations. Results A total of 2 386 cases of hand-foot-mouth disease were reported in Yidu City in 2009-2013, of which 77 were diagnosed in the laboratory, all of which were mild cases without any severe or fatal cases. According to the epidemic characteristics of hand-foot-mouth disease in Yidu City, the incidence of hand-foot-mouth disease in Yidu City in 2009-2013 is generally from April to May (41.0%) and from November to December (33.2%). Mostly concentrated in Lucheng, Zhicheng, Gaobazhou these densely populated, convenient transportation, floating population of towns and villages; the age of onset to 4 years of age and below (90.25%) based; onset of occupational kindergarten children (45.23 %), Diaspora (47.54%), gender ratio of 1.5: 1. Conclusion Hand, foot and mouth disease in Yidu City from 2009 to 2013 had obvious gender, age, region and season differences. Children 4 years old and below were the key population of hand-foot-mouth disease prevention and control.