2010—2014年常熟市手足口病流行病学及病原学分析  

Analysis on epidemiological and etiological characteristics of hand-foot-mouth disease in Changshu City from 2010-2014

作　　者：任宇花[1] 徐里强[1] 龚利强[1] 

机构地区：[1]常熟市疾病预防控制中心传染病防制(卫生应急)科,江苏常熟215500

出　　处：《职业与健康》2016年第11期1517-1519,共3页Occupation and Health

摘　　要：目的分析常熟市2010—2014年手足口病流行病学特征及病原体变化情况,为制定手足口病的防治措施提供依据。方法利用《国家疾病报告信息管理系统》收集2010—2014年常熟市手足口病数据,采用描述流行病学方法对疫情的分布进行分析。结果 2010—2014年该市手足口病发病率分别为126.43/10万、149.87/10万、168.75/10万、144.48/10万和242.62/10万。发病以男性（性别比为1∶0.60）、0-5岁年龄组（92.13%）、散居儿童（63.12%）和幼托儿童（32.67%）为主。发病率居前3位的乡镇为古里镇（199.90/10万）、虞山镇（193.15/10万）和尚湖镇（190.23/10万）。发病主要集中在4—7月份（60.53%）。重症病例男女性别比为1∶0.59,主要集中在1-2岁年龄组（54.62%）。检测的386份咽拭子标本,阳性率为59.33%,以EV71型（38.86%）和Cox A16型（36.68%）为主。重症病例阳性率为41.54%,以EV71型（92.59%）为主。结论常州市手足口病疫情不容乐观。应继续加强手足口病的监测,快速准确处置疫情,积极开展健康教育以控制该病的流行。[Objective] To analyze the epidemiological and etiological characteristics of hand-foot-mouth disease（HFMD） in Changshu City from 2010-2014, provide the basis for developing the prevention and control measures of the HFMD.[Methods]The data of HFMD cases in Changshu City from 2010-2014 were collected from the China Information System for Disease Control and Prevention,and the descriptive epidemiological method was used to to analyze the distribution of the epidemic situation.[Results]The incidence rate of HFMD from 2010-2014 was 126.43/lakh,149.87/lakh,168.75/lakh,144.48/lakh and 242.62/lakh,respectively. Most of cases were male（male-to-female ratio was 1 ∶0.60）,children aged 0-5 years old（92.13%）,scattered children（63.12%）and preschool children（32.67%）. The top three towns with highest incidence rate were Guli Town（199.90/lakh）,Yushan Town（193.15/lakh） and Shanghu Town（190.23/lakh）. The peak season appeared April to July. The male-to-female ratio in severe cases was 1∶0.59,and most of severe cases were children aged 1-2 years old（54.62%）.The positive rate in 386 throat swab specimens was 59.33%,which were dominated by EV71（38.86%）and Cox A16（36.68%）.The positive rate in severe cases was 41.54%,and the main pathogen was EV71（92.59%）.[Conclusion]The HFMD epidemic situation is not optimistic In Changzhou City. It is necessary to strengthen the monitoring of HFMD,rapidly and correctly treat the epidemic events,and actively carry out the health education to control the HFMD.

关 键 词：手足口病 疫情 流行病学 

分 类 号：R181.3[医药卫生—流行病学]