2014—2018年雅安市手足口病流行病学特征分析  

Analysis on epidemiological characteristics of hand-foot-mouth disease in Ya’an City from 2014-2018

作　　者：艾守美[1] 凌莉[1] 杨雅康[1] AI Shou-mei;LING Li;YANG Ya-kang(Ya'an Center for Disease Control and,Prevention,Ya'an Sichuan,625100,China)

机构地区：[1]雅安市疾病预防控制中心综合科

出　　处：《职业与健康》2019年第22期3092-3094,3100,共4页Occupation and Health

摘　　要：目的 了解2014-2018年雅安市手足口病流行特征,为控制手足口病的流行提供数据支持。方法 通过网络直报收集2014-2018年雅安市手足口病病例报告并进行描述性统计分析。结果 2014-2018年共报告手足口病8 382例,年均发病率为108.76/10万。2014年和2016年发病呈现春夏(4-5月)和秋冬(10-11月)2个高峰,2015年高峰后移,分别为4-6月和12月,2017-2018年仅出现1个高峰。发病率以石棉县、雨城区和宝兴县较高,分别为168.80/10万、131.41/10万和108.11/10万。发病年龄主要集中在<5岁儿童,特别是以1岁组为主,占33.14%;男性发病率为125.72/10万,女性发病率为91.51/10万;人群分布以散居儿童为主,占66.93%,其次为托幼儿童,占28.37%。病原学构成以其他肠道病毒(40.86%)和柯萨奇病毒A16(CoxA16)(37.39%)为主,其次为肠道病毒71(EV71)型(21.94%)。结论 手足口病是雅安市重点防控急性传染病之一,现阶段应针对重点人群、重点地区采取综合性防控措施,坚持做好病原学监测。Objective To understand epidemiological characteristics of hand-foot-mouth disease(HFMD)in Ya'an City from 2014-2018,provide data support for controlling HFMD.Methods Based on direct network report,cases of HFMD in Ya'an City from 2014-2018 were collected and analyzed with descriptive epidemiology.Results A total of 8382 cases of HFMD were reported from 2014-2018 with an average annual incidence of 108.76Aakh.In 2014 and 2016,there were two peaks in spring and summer(April to May)and autumn and winter(October to November).In 2015,the peak moved backward,which were April to June and December respectively,and only one peak appeared in 2017-2018.The incidence rates in Shimian County,Yucheng District and Baoxing County were higher,which were 168.80/lakh,131.41/lakh and 108.11/lakhrespectively.The cases mainly concentrated in children under 5 years old,especially in 1 year-old age group accounting for 33.14%.The incidence in males and females was 125.72/lakh and 91.51/lakh respectively.For the population distribution,most of cases were scattered children,accounting for 66.93%followed by kindergarten children,accounting for 28.37%.Etiology constitutes was priority with other enteroviruses(40.86%)and CoxA16(37.39%),followed by EV71(21.94%).Conclusion HFMD has become one of the most important acute infectious diseases in Ya'an City.The comprehensive prevention and control measures should be taken for key population and key areas,and it is necessary to improve the pathogenic surveillance.

关 键 词：手足口病 流行特征 病原学 

分 类 号：R181.3[医药卫生—流行病学]