2010-2017年眉山市手足口病流行病学特征分析  

The Epidemiologic Analysis of Hand-Food-Mouth Disease in Meishan City From 2010 to 2017

作　　者：李杰[1] 黎勇[1] 徐晋眉 罗桂英[1] 周兴余[2] LI Jie;LI Yong;XU Jinmei;LUO Guiying;ZHOU Xingyu(Meishan Municipal Center for Disease Control and Prevention,Meishan 620010,Sichuan Province,China;Sichuan Center for Disease Control and Prevention,Chengdu 610041,Sichuan Province,China.)

机构地区：[1]眉山市疾病预防控制中心,四川眉山620010 [2]四川省疾病预防控制中心,成都610041

出　　处：《预防医学情报杂志》2018年第12期1497-1501,共5页Journal of Preventive Medicine Information

基　　金：四川省现场流行病学培训项目

摘　　要：目的 对2010-2017年眉山市手足口病疫情的发病情况和流行特征进行分析,为手足口病的防控提供参考依据。方法 从“中国疾病预防控制信息系统”中获得2010-2017年眉山市手足口疫情资料,采用描述性流行病学方法分析。结果2010-2017年眉山市累计报告手足口病例31 723例,年平均发病率为132. 26/10万,重症病例401例,重症率为1. 26%,死亡病例9例,病死率为0. 03%;发病流行曲线呈双峰型,春夏高峰为4-6月,秋冬高峰为10-12月;全市6个区县均有发病,东坡区累计报告病例数和报告发病率均居全市首位,仁寿县其次;男女性别比为1. 42∶1,报告病例数以0～5岁组所占比例最高,共30 176例（95. 12%）,职业分布以散居儿童为主,为21 945例（69. 18%）;其次是托幼儿童9 140例（28. 81%）;学生555例（1. 75%）;不同年份间流行的优势病原体各有不同,以其他肠道病毒感染为主,并呈逐年上升趋势。结论 眉山市手足口病呈高发流行态势,发病高峰在4-6月和10-12月,流行持续时间长,在0～5岁组儿童中高发,主要集中在1～3岁,针对这些特征,应采取综合性措施,预防和控制手足口病的流行。Objective To analyze the incidence and epidemic characteristics of hand - foot - mouth disease HFMD in Meishan city from 2010 to 2017, and to provide reference for prevention and control of （MFMD）. Methods The data of HFMD in Meishan city during 2010 -2017 were collected from China disease control and prevention information system and analyzed by descriptive epidemiological method. Results From 2010 to 2017 in Meishan city, there were reported a total of 31 723 cases of HFMD, the average annual incidence rate was 132.26/10^5, about 401 cases were severe cases with the rate was 1.26%, there were 9 death cases, the mortality rate was 0.03 %. The epidemic curves throughout the year had two peaks, the peak during spring and summer was from April to June , the peak during autumn and winter was from October to December. The 6 districts and counties of Meishan illness, the cumulative number city were all had the of reported cases and report incidence rate of Dongpo district was the highest in the city, and Renshou county was the second one. The sex ratio was 1.42： 1. The age from 0 to 5 years old group was accounted for the highest proportion, a total of 30 176 cases, accounting for 95.12%, live scattered children had 21 945 cases, accounting for 69.18%; followed by children in the kindergarten had 9 140 cases, accounting for 28.81%. Students had 555 cases, accounting for 1.75%; the dominant pathogens among different years were different, mainly infected by other enterovirus, and increased year by year. Conclusion HFMD in Meishan city showed a high incidence of the epidemic situation, the two peaks of incidence were from April to June and from October to December, lasted for a long time, the high incidence of children was at the age of 0- 5 years old, mainly occurred in 1 -3 years old. According to these characteristics, comprehensive measures should be taken to prevent and control the outbreak of HFMD.

关 键 词：手足口病 流行病学 EV 71 COX A16 

分 类 号：R512.5[医药卫生—内科学]