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作 者:吴华英[1] 欧阳敏[1] 何平[1] 廖安波 贾勇[1]
出 处:《职业与健康》2014年第19期2741-2743,共3页Occupation and Health
摘 要:目的了解2009—2013年资阳市手足口病的流行规律、变化趋势,为防控工作提供依据。方法使用中国疾病预防控制信息系统和Excel 2003电子表格软件进行整理分析和统计处理,检索条件为按发病日期。结果 2009—2013年资阳市手足口病累计报告5 745例,死亡9例,年均报告发病率为29.99/10万,年均报告死亡率为0.05/10万;2009—2013年手足口病报告发病率分别为5.63/10万、21.83/10万、35.28/10万、39.89/10万和47.33/10万。男性累计报告发病3 481例,占发病总数的60.59%;女性累计报告发病2 264例,占发病总数的39.41%,男女性别比为1.54∶1。报告重症病例50例,聚集性疫情81起。2009—2013年全市各县(市、区)每年各月均有手足口病报告,发病呈双峰分布。发病年龄主要集中在5岁及以下儿童,占发病总数的96.64%,呈典型的婴幼儿高发,职业构成以散居儿童(77.04%)为主。实验室确诊的594例病例中,EV71感染287例(48.32%),CoxA16阳性128例(21.55%),其他肠道病毒阳性179例(30.13%)。结论 2009—2013年资阳市手足口病发病率有逐年增高的趋势,呈明显的季节性和人群分布特点。应加强疫情监测,采取针对性措施落实各项防控工作。[ Objective] To investigate the epidemic regularity and trend of hand-foot-mouth disease (HFMD) in Ziyang City from 2009-2013, provide the basis for the prevention and control work. [ Methods] The Chinese disease prevention and control information system and Excel 2003 software were used to collect and analyze the data, and the retrieval condition was the date of onset. [ Results] A total of 5 745 HFMD cases were reported in Ziyang City from 2009-2013, and there were 9 death cases. The annual reported incidence rate was 29.99/lakh, and the average annual mortality rate was 0.05/lakh. The annual incidence of HFMD was 5.63/lakh in 2009, 21.83/lakh in 2010, 35.28/lakh in 2011, 39.89/lakh in 2012, and 47.33/lakh in 2013. There were 3 481 male cases and 2 264 female cases, which respectively accounted for 60.59% and 39.41% of total cases, and the male-to-female ratio was 1.54: 1. There were 50 severe cases and 81 aggregation cases. HFMD cases were reported in every county/city/district of the city in every month from 2009 to 2013, and epidemic situation showed a bimodal distribution. Patients were mainly children under 5 years old, accounting for 96.64% , which presented a typical feature that infant and children had high incidence rate, and 77.04% of patients were scattered children. Among the 587 cases diagnosed by the laboratory detection, 287 ( 48.32% ) cases were infected by EV71, 128 (21.55%) cases were infected by CoxA16, and 179 (30.13% } eases were other entericvirus infection. [ Conclusion] The incidence rate of HFMD has increased year by year in Ziyang City from 2009 to 2013, with obvious seasonal and population distribution characteristics. It is necessary to strengthen surveillance of epidemic situation, and take specific measures to implement the prevention and control work.
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