金山区2012年幼托机构手足口病聚集性疫情流行特征分析  

Analysis on Epidemiological Characteristics of Clustered Cases of Hand,Foot and Mouth Disease Among Kindergartens in Jinshan District in 2012

作　　者：曹志城[1] 宋灿磊[1] 李澜[1] 李俊[1] 莫平华[1] 金玉其[1] 

机构地区：[1]上海市金山区疾病预防控制中心,上海201599

出　　处：《实用预防医学》2013年第7期805-807,共3页Practical Preventive Medicine

基　　金：上海市卫生局青年科研项目(20114y026)

摘　　要：目的描述上海市金山区2012年幼托机构手足口病聚集性疫情的流行特征。方法通过对＂中国疾病监测信息报告系统＂收集的金山区2012年幼托机构手足口病聚集性疫情病例三间分布特征、病原学等资料进行分析。结果金山区2012年幼托机构手足口病聚集性病例疫情共报告59起,累计发病214人,平均罹患率为12.36%（5.13%-28.00%）;疫情主要分布在石化街道（18.64%,11/59）,山阳镇（16.95%,10/59）、枫泾镇（15.25%,9/59）;报告高峰在4-6月（59.32%,35/59）;采样的37起疫情中EV71感染4起;CoxA16感染20起,除EV71、CoxA16的其他肠道病毒感染4起。结论幼托机构作为金山区手足口病防控工作的重点场所,应加强对幼托机构手足口病防治知识培训,提高手足口病聚集性病例事件报告敏感性和及时性。Objective To investigate the epidemiological characteristics of clustering of hand,foot and mouth disease（HFMD） cases in Kindergartens in Jinshan District in 2012.Methods Based on China Information Reporting System for Disease Surveillance,the data of characteristics of clustering of HFMD cases in Kindergartens in Jinshan District in 2012 were collected,including time,area,population,etiology,etc.Results There were 59 reports of clustered HFMD in all,and the total number of HFMD cases was 214,with an average incidence rate of 12.36%（5.13%-28.00%）.HFMD cases were prevalent in Shihua Street（18.64%,11/59）,Shanyang Town（16.95%,10/59） and Fengjing Town（15.25%,9/59）.The reporting peak of clustered HFMD cases was from April to June（59.32%,35/59）.Among 37 reports of sampled HFMD cases,EV71（4/37） and CoxA16（20/37） were considered to be the primary pathogens causing clustered HFMD,and other enteroviruses were found in 4 reports.Conclusions Kindergartens should be considered as the focus of preventing and controlling clustered HFMD in Jinshan District.The clustered HFMD cases can be effectively controlled by strengthening the related training and conducting early intervention.

关 键 词：幼托机构 手足口病 聚集性疫情 流行病学 

分 类 号：R512.5[医药卫生—内科学]