陕西省咸阳市渭城区2017年0～7岁婴幼儿手足口病疫情分析  

Analysis of the epidemic situation of hand-foot-mouth disease among infants aged 0～7 years in Weicheng District of Xianyang,Shaanxi Province in 2017

作　　者：刘静 张娟 张朝辉 郭亚峰 韦娟 LIU Jing;ZHANG Juan;ZHANG Chaohui;GUO Yafeng;WEI Juan(Center for Disease Control and Prevention of Weicheng District Xianyang,Shaanxi712000,China)

机构地区：[1]咸阳市渭城区疾病预防控制中心

出　　处：《医学动物防制》2019年第10期1006-1008,共3页Journal of Medical Pest Control

摘　　要：目的分析咸阳市渭城区2017年手足口病流行特征,为制定防控策略提供依据。方法应用描述性流行病学研究方法对咸阳市渭城区2017年0~7岁婴幼儿手足口病流行病学特征及病原学特点进行分析。结果咸阳市渭城区2017年0~7岁婴幼儿手足口病年发病159例,年发病率为1 074. 40/10万;形成了5~7月和10~11月两个发病高峰,分别占全年病例总数的54. 09%和30. 19%;发病以男童为主,男女病例比1. 48∶1;以幼托儿童为主(52. 20%),其次为散居儿童(44. 03%)和在校学生(3. 77%);年龄主要集中于5岁及以下,以1~4岁为主(84. 91%),5岁以上儿童仍有发病;年发病率由郊区街(办)向市中心街(办)依次下降;15例咽拭子阳性病例中,EV 71病毒感染3例,占20. 00%,Cox A6病毒感染12例,占80. 00%。结论咸阳市渭城区手足口病防控形势严峻,发病具有明显的时间、地域和人群分布特征,应根据疾病季节、区域和人群分布特点,做好重点人群、重点区域、重要时间段的防控工作,以提高手足口病防控质量。同时,建议加强小学在校学生手足口病防病知识宣传教育,确保防控工作不留死角。Objective To analyze the epidemic characteristics of hand-foot-mouth disease(HFMD) in Weicheng District of Xianyang City in 2017,and to provide evidence for formulating prevention and control strategies. Methods The epidemiological characteristics and etiological characteristics of hand-foot-mouth disease(HFMD) in infants aged 0 ~ 7 years in Weicheng District of Xianyang City in 2017 were analyzed by using descriptive epidemiological research methods. Results In Weicheng District of Xianyang City,159 cases of hand-foot-mouth disease(HFMD) occurred annually in infants aged 0 ~ 7 years in2017,with an annual incidence of 1 074. 40/100 000. The incidence peaks in May to July and October to November,accounting for 54. 09% and 30. 19% respectively of the total number of cases in the whole year. The incidence was mainly boys,and the ratio of boys to girls cases was 1. 48∶ 1. Children in nursery care were the majority(52. 20%),followed by children living in the diaspora(44. 03%) and students in school(3. 77%). The age was mainly 5 years old and below,mainly 1 to 4 years old(84. 91%),children over 5 years old still had the disease;the annual incidence decreased from suburban street to downtown street. Of the 15 positive pharyngeal swabs,3 cases are EV 71 virus infection,accounting for 20. 00%,and 12 cases are Cox A6 virus infection,accounting for 80. 00%. Conclusion The situation of prevention and control of hand-foot-mouth disease in Weicheng District is grim. The onset of hand-foot-mouth disease has obvious characteristics of time,region and population distribution. At the same time,it is suggested to strengthen the propaganda and education of HFMD prevention knowledge among primary school students to ensure that there is no dead end in the prevention and control work.

关 键 词：手足口病 流行特征 肠道病毒 

分 类 号：R512.5[医药卫生—内科学]