2008—2013年云南省手足口病流行特征和空间分布特点分析  

Epidemiology of hand foot and mouth disease and geographic distribution of the cases in Yunnan,2008-2013

作　　者：王荣华[1] 李琼芬[1] 林燕[1] 戚艳波[1] 邬志薇[1] 郝林会[1] 黄甜[1] 

机构地区：[1]云南省疾病预防控制中心,云南昆明650022

出　　处：《疾病监测》2014年第11期857-861,共5页Disease Surveillance

摘　　要：目的分析云南省2008—2013年手足口病流行特征和空间分布特点,为云南省手足口病的预防控制工作提供依据。方法收集云南省2008—2013年中国疾病监测信息报告管理系统中手足口病个案信息,采用描述性流行病学方法和应用地理信息系统技术进行分析。结果云南省2008—2013年共报告手足口病234 383例,报告发病率逐年波动上升,2008年25.26/10万,2009年32.84/10万,2010年105.68/10万,2011年85.54/10万,2012年133.28/10万,2013年128.06/10万,发病高峰集中在每年4-7月;发病以5岁以下儿童为主,占总发病数的86.62%,1-3岁组发病率达到1506.18/10万;发病具有明显的时空聚集性,主要集中在中心城市和旅游风景区;6年间,不同地区手足口病病原学分型的优势毒株存在交替变化现象。结论云南省手足口病防控工作的重点区域是中心城市和旅游风景区,同时要加强农村和边远山区疫情监测和预警,防控关键期在4—7月,重点人群是5岁以下幼托儿童和散居儿童。Objective To understand epidemiological characteristics of hand foot and mouth disease（ HFM D） in Yunnan province during 2008-2013 and provide evidence for the prevention and control of HFM D in Yunnan. Methods The incidence data of HFM D in Yunnan from 2008 to 2013 w ere obtained from national disease reporting information system for the descriptive epidemiological analysis and Geographic Information System w as used to analyze the distribution of the HFM D cases. Results A total of 234 383 HFM D cases w ere reported in Yunnan during this period. The incidence varied w ith year,w hich w as 25. 26 / lakh in 2008,32. 84 / lakh in 2009,105. 68 / lakh in 2010,85. 54 / lakh in 2011,133. 28 /lakh in 2012 and 128. 06 / lakh in 2013. The annual incidence peak w as during April-July. Up to 86. 62% of the cases w ere children aged 5 years and the incidence in age group 2-3 years w as 1506. 18 / lakh. The clustering of HFM D cases w as observed,w hich w as mainly distributed in urban areas and scenic areas. The major pathogens w ere EV71 and Cox A16,but the predominance varied w ith area. Conclusion It is necessary to strengthen the prevention and control of HFM D in people living in urban areas and scenic areas and the surveillance for HFM D in rural areas and remote mountain areas in Yunnan,especially in children aged 5 years during April-July of a year.

关 键 词：手足口病 流行特征 空间分布特点 

分 类 号：R725.1[医药卫生—儿科] R181.3[医药卫生—临床医学]