2011-2015年南充市高坪区手足口病疫情分析  

Epidemic Situation of Hand-foot-mouth disease in Gaoping District of Nanchong in 2011 to 2015

作　　者：何兮[1] 张松[1] 舒念 蒲焘[1] SHENDongmei ZHANG Song SHU Nian PU Tao(Gaoping District Center for Disease Control and Prevention, Nanchong 637000, Sichuan Province, Chin)

机构地区：[1]南充市高坪区疾病预防控制中心,四川南充637100

出　　处：《预防医学情报杂志》2017年第4期398-401,共4页Journal of Preventive Medicine Information

摘　　要：目的了解南充市高坪区2011-2015年手足口病的流行病学特征,为制定控制措施提供参考依据。方法采用描述流行病学方法对南充市高坪区2011-2015年手足口病疫情资料及实验室检测结果进行统计分析。结果南充市高坪区2011-2015年共报告手足口病704例,年均发病率为23.43/10万,其中,街道发病率为46.33/10万;乡镇发病率为11.78/10万,城乡发病率差异有统计学意义(χ~2=68.779,P<0.01);9~12月为季节性发病最高峰,占全年发病总数的59.23%;发病人群以0~4儿童为主,占病例总数的94.89%,职业以散居儿童居多,占病例总数的90.77%;男性年均发病率为27.60%,女性年均发病率18.73/10万,男女发病率差异有统计学意义(χ~2=4.859,P<0.05)。病原学检测显示EV71占9.89%,COX-A16占27.47%,其他肠道病毒占62.64%。结论 2011-2015年南充市高坪区手足口病发率城区高于乡村,男性高于女性,9~12月为发病最高峰,病例多为5岁以下儿童。应加强疫情监测,严格医疗机构门诊日志及传染病报告管理,加大幼托机构晨检、午检及重点场所、重点人群的宣传力度,提高群众的防控意识,今后防控工作的重点仍然是散居和幼托儿童。Objective To investigate epidemic features of hand - foot - mouth disease （HFMD） in Gaoping Distrier of Nanchong from 2011 to 2015 and provide reference for devising control measures. Methods Epidemic data and laboratory test results of HMFD in Gaoping District of Nanchong in 2011 to 2015 were statistically analyzed by descriptive epidemiological method. Results 704 HFMD cases were reported in Gaoping District of Nanchong during the period from 2011 to 2015, and the annual morbidity rate was 23.43/105. The morbidity rate in urban areas （46. 33/105 ） was significantly different from that in townships （ 11.78/105 ） （X2 = 68. 779, P 〈0. 01 ）. The peak season of incidence was from September to December, and the cases in this period accounted for 59.23% of the total each year; children aged between 0 and 4 accounted for 94. 89% of the total infected population. In terms of occupation, sparely populated children accounted for the majority （90. 77% ）. The annual morbidity rate was 27.60% in males and 18.73/105 in females, and the difference was statistically significant （X2 =4. 859, P 〈 0.05 ）. Etiological tests indicated that EV71 was responsible for 9. 89%, COX - A16 for 27.47%, and other enteric viruses for 62.64% of the total, respectively. Conclusion The morbidity rate of HFMD in Gaoping District of Nanchong over the period from 2011 to 2015 was higher than in urban areas than in rural areas and higher in males than in females; the period from September to December was the peak season of incidence, and most patients were children aged below 5. Epidemic surveillance should be enhanced, the outpatient journals and infectious diseases reports at medical institutions should be strictly controlled. More efforts need to be made to carry out morning test, midday test at the nurseries and kindergartens and to conduct stronger publicity at key places and among targeted people in order to raise the public awareness of the disease prevention and control, and the focus of the prevention and control

关 键 词：手足口病 流行病学特征 病原学 

分 类 号：R512.5[医药卫生—内科学]