2014年许昌市手足口病流行特征分析  

Analysis on epidemiology of hand,foot and mouth disease in Xuchang in 2014

作　　者：徐向华[1] 俎炳灿[1] 张巧红[1] 马莹莹[1] 郑有忠[1] 尧怀志[1] 

机构地区：[1]许昌市疾病预防控制中心,河南许昌461000

出　　处：《河南预防医学杂志》2016年第5期374-379,共6页Henan Journal of Preventive Medicine

摘　　要：目的分析2014年许昌市手足口病流行病学特征,为制定科学有效的防控措施提供依据。方法运用描述性流行病学方法对2014年手足口病流行病学特征进行分析。结果共报告手足口病病例8 420例,发病率为196.54/10万,为全市法定报告传染病首位,其中重症病例444例,死亡6例;各县(市、区)均有病例报告,3~6月份为发病高峰期,5岁以下散居儿童为主要发病人群,其中1岁年龄组发病率最高,死亡病例均为2岁以下散居儿童;病原学监测结果显示普通病例EV71型占38.25%,CoxA16型占16.73%、其它肠道病毒占45.02%;重症病例EV71型占79.72%,CoxA16型占3.56%,其它肠道病毒占16.73%;聚集性疫情多集中在村庄散居儿童,高发季节局部地区或集体单位尤其是幼托机构存在暴发的可能。结论 2014年许昌市手足口病处于高度流行态势,普通病例以其它肠道病毒感染为主,而重症病例仍以EV71感染为主,应进一步加强防控力度,采取加强监测、健康教育、聚集性疫情应急处置等综合性防控措施。Objective To understand the epidemiological characteristics of hand-foot-mouth disease （HFMD） in Xuchang in 2014, and to provide a reference for scientific and efficient prevention and control. Methods Descriptive methodology was adopted to analyze the epidemiological characteristics of HFMD in 2014. Results Total 8 420 HFMD cases were reported in Xuchang in 2014,with incidence 196.54/100000,ranking first in reported case numbers of notifiable diseases in Xuehang city. including 444 severe cases and 6 deaths, Each county （city, district） have a case report,the incidence peak was during March^June. The cases mostly were scatteredly living children aged 〈5 years old , the highest incidence was the 1 year old age group, and the death cases were under 2 years old children. Etiology monitoring results showed, EV71, C oxA 16 and other enterovirus （EV） accounted for 38.25 %, 16.73 % and 45.02 % of common cases, respectively, in terms of the severe cases, the ratios were 79.72 % ,3.56 % and 16.73 %.The clustering epidemics were more concentrated in the village children, local high season or collective units especially preschools exist the possibility of outbreak. Conclusions HFMD was highly epidemic in Xuchang, it is necessary to strengthen the prevention and control of HFMD in child care settings and in children in floating population community. of common cases, thus we should strengthen our prevention against it,and to strengthen the monitoring, health and adopt , aggregation of the epidemic emergency disposal etc. comprehensive prevention and control measures.

关 键 词：手足口病 流行特征 监测 防控措施 

分 类 号：R512.5[医药卫生—内科学]