2013-2014年天津市手足口病流行病学特征分析  

Epidemiology of hand foot and mouth disease in Tianjin,2013- 2014

作　　者：陈茜[1] 董晓春[1] 孙美玲[1] 

机构地区：[1]天津市疾病预防控制中心突发办,天津300011

出　　处：《疾病监测》2015年第6期463-467,共5页Disease Surveillance

基　　金：天津市卫生局科技基金(No.2011KZ48)~~

摘　　要：目的分析天津市2013-2014年手足口病流行病学特征,探讨其流行规律。方法收集《中国疾病预防控制信息管理系统》天津市报告的手足口病数据,应用描述流行病学分析和相关统计分析方法对天津市2013-2014年手足口病发病情况进行统计和分析。结果天津市2013-2014年累计报告手足口病33 587例,重症6例,死亡2例。年均发病率116.41/10万。发病高峰在23 30周(6 7月),年均发病率最高的是静海县(248.69/10万)。61.12%的病例为散居儿童,1岁年龄组年均发病率最高,为3025.76/10万。实验室诊断病例2267例,除了肠道病毒71型(EV71)和柯萨奇病毒A组16型(Cox A16),还检测出Cox A6阳性280例,Cox A10阳性70例,分别占实验室诊断病例的12.35%和3.09%。结论天津市手足口病季节性明显,农村和郊区是重点防控地区,尽管EV71和Cox A16仍为天津市手足口病的主要病原,Cox A6和Cox A10已经出现并成为手足口病的致病原,应引起关注。Objective To understand the epidemiological characteristics of hand foot and mouth disease （HFMD） in Tianjin from 2013 to 2014. Methods The incidence data of HFMD in Tianjin during this period was collected from national disease reporting information system to conduct a descriptive epidemiological analysis. Results A total of 33 587 HFMD cases were reported in Tianjin from 2013 to 2014, including 6 severe cases and 2 fatal cases. The annual average incidence was 116.41/lakh. The annual incidence peak was during week 23 -30（June-July）. The average annual incidence in Jinghai was highest （248.69/lakh）. The cases in children outside child care settings accounted for 61.12%. The age specific average annual incidence was highest in children aged 12 months （3025.76/lakh）. Among the reported cases, 2267 were laboratory confirmed. Except Cox A16 and EV71, Cox A6 and Cox A10 were also detected in 280 （ 12. 35% ） and 70 （3.09%） cases, respectively. Conclusion The results indicated that HFMD had obvious seasonality in Tianjin. The prevention and control of rural or suburban area needs to be strengthened. In recent years, Cox A6 and Cox A10 emerged and co-circulated with other enteroviruses in Tianjin, although EV71 and Cox A16 remained to be oredominant.

关 键 词：手足口病 流行特征 肠道病毒 

分 类 号：R725.1[医药卫生—儿科]