武汉市汉阳区2010年手足口病疫情流行病学分析  

Epidemiological Analysis of Hand-foot-mouth Disease in Hanyang District of Wuhan City in 2010

作　　者：艾运生[1] 赵丽[1] 汪欢[1] 刘振宇[1] 周鑫[1] 

机构地区：[1]湖北省武汉市汉阳区疾病预防控制中心,湖北武汉430050

出　　处：《实用预防医学》2011年第8期1428-1429,共2页Practical Preventive Medicine

摘　　要：目的对汉阳区2010年手足口病进行流行病学分析,探求手足口病的流行特征和防控对策。方法采用描述性流行病学研究方法,对2010年汉阳区手足口病病例进行三间分布的统计学分析。结果 2010年汉阳区手足口病报告1 106例,发病率为266.56/10万,无重症和死亡病例,男性661例,女性445例。患者最小6个月,最大23岁,5岁以下发病人数979例,占发病总数的88.52%。发病职业以幼托和散居儿童为主,分别占总发病数的53.61%、42.30%,其他4.07%。高峰在4-7月份,共计发病911例,占发病总数的82.37%。全区11个街道都有病例报告,其中发病数最多的是琴断口街,发病率为565.79/10万,各个街道发病率差异有统计学意义。实验室检出病毒以EV71为主,占病毒检出的78.95%。结论手足口病防控工作应以散居及幼托儿童为重点人群,托幼机构为重点场所,广泛开展健康教育,落实综合防治措施。Objective To analyze the epidemiological data of hand-foot-mouth disease（HFMD） in Hanyang District in 2010,and to explore the epidemic characteristics and prevention and control strategies of HFMD.Methods Descriptive epidemiological methods were used to analyze the distribution of population,geography,and time in HFMD cases.Results Totally 1,106 cases were reported in the whole Hanyang District in 2010,with the incidence rate of 266.56/100,000.No severe or death case was found.The number of male patients was 661,and the female was 445.The patients were aged from 6 months to 23 years,and 88.52% of the patients（n=979） were under 5 years old.Preschool children and sporadic children contributed the most to caseloads,accounting for 53.61% and 42.30% of the total incidence,respectively,and the others accounted for 4.07%.A season peak appeared from April to July,with a total incidence of 911 cases,accounting for 82.37%.All the cases were reported from the 11 streets in Hanyang District,and the highest incidence rate appeared at Qinduankou Street which was 565.79/100,000.There were statistically significant differences in the incidence rates of the streets.The laboratory detection results showed that the EV71 virus contributed to the most cases,accounting for 78.95%.Conclusions Preschool children,sporadic children,and child-care institutions are the key points in the work of preventing and controlling HFMD.HFMD-related health education should be enhanced widely and comprehensive prevention and control measures should be implemented.

关 键 词：手足口病 流行病学 分析 

分 类 号：R181.81[医药卫生—流行病学]