上海市杨浦区2005-2008年手足口病流行病学分析  

Epidemiological analysis of hand-foot-mouth disease in Shanghai Yangpu District during 2005-2008

作　　者：梁秀芳[1] 黄惠敏[1] 谢梦[1] 张家琪[1] 胡进[1] 

机构地区：[1]上海市杨浦区疾病预防控制中心,上海200090

出　　处：《中华疾病控制杂志》2010年第6期512-515,共4页Chinese Journal of Disease Control & Prevention

基　　金：上海市杨浦区科委重点专科建设项目(2006AA002-007)

摘　　要：目的了解上海市杨浦区手足口病流行病学特征,为有效控制手足口病暴发流行提供相关依据。方法对上海市杨浦区2005-2008年手足口病疫情监测资料进行描述流行病学分析。结果上海市杨浦区2005-2008年共发生手足口病1348例,平均年发病率27.48/10万,无重症和死亡病例报告。男女性别构成比1.46∶1。发病人群主要为1～5岁儿童,占85.39%,本区人口2岁、3岁组儿童发病率达1000/10万以上;5～7月为该病的高发季节,在托幼机构易引起暴发。临床表现主要为发热和皮疹,皮疹部位以手、足、口、臀等为主。结论手足口病的发生有明显年龄、性别、季节特征,在短时期内可造成较大范围的流行,疫情控制难度大,但领导重视,采取预警监测,准确应急处置,健康教育宣传和培训等综合措施,疫情可以得到有效控制。Objective To know the epidemiological characteristics of hand-foot-mouth disease in Yangpu District and provide evidence for specific strategies and measures of hand-foot-mouth disease activity prevention and control. Methods Descriptive analysis of the data from hand-foot-mouth disease epidemic situation in Yangpu District from 2005 to 2008 was made. Results 1 348 cases were reported in the whole Yangpu District from 2005 to 2008, and no severe cases, no death. The average morbidity in Yangpu District was 27.48/100 000. The male to female ratio was 1.46∶1. The infection occurred to infants aged from 1 year to 5 years （85.39%）. The incidence of the native population children aged 2 to 3 exceeded 10/100 000. The season peak appeared from May to July （70.18%）, and outbreaks used to occur at nurseries and kindergartens. The typical clinical presentations mainly included fever and rash. The rash mainly occurred to hands, feet, mouth, buttocks and so on. Conclusions Incidence varied significantly between different sexes, seasons and ages. It can cause large-scale epidemic in a short period of time, the epidemic was very difficult to control, but the leaders attach importance to take the early warning and monitoring, accuratey deal with emergencies, health education promotion and training of comprehensive measures, the epidemic can be effectively controlled.

关 键 词：手足口病 流行病学 分析 

分 类 号：R183[医药卫生—流行病学] R512.57[医药卫生—公共卫生与预防医学]