2009—2018年云南省手足口病流行特征分析  

Epidemiological characteristics of hand-foot-and-mouth disease in Yunnan Province from 2009 to 2018

作　　者：张丽芳[1] 韦蝶心[1] 邓淑珍[1] 刘春艳[1] 谭敏[1] ZHANG Li-fang;WEI Die-xin;Deng Shu-zhen(Institution of School Health,Yunnan Center for Disease Control and Prevention,Kunming 650022,Yunnan,China)

机构地区：[1]云南省疾病预防控制中心学校卫生所,云南昆明650022

出　　处：《中国校医》2020年第4期259-261,271,共4页Chinese Journal of School Doctor

摘　　要：目的了解云南省2009—2018年手足口病流行特征,并提出防控建议。方法采用整群抽样,对云南省最近10年手足口病疫情及学校突发公共卫生事件进行描述性分析。结果云南省2009—2018年共报告手足口发病数647938例,年平均报告发病率为138.7019/10万,发病数以每年上升24.12%的速度递增,发病率以每年上升1.23倍的速度递增。高发地区主要为滇中的玉溪市(355.6680/10万)和昆明市(256.1449/10万),滇西北的丽江市(168.6435/10万),和位于滇西、滇南与缅甸和老挝接壤的德宏州(280.6515/10万)、西双版纳州(192.9979/10万),与越南接壤的红河州(164.8012/10万)。发病时间呈双高峰分布,主高峰为5月—7月(占42.65%),次高峰为10月—12月(占23.68%)。男、女发病数性别比为1.42:1,发病人群以1岁~5岁人群为主,占81.23%,并以散居儿童最多。手足口病突发公共卫生事件发生时间分布以6月(39起,占20.0%)和5月(35起,占17.95%)最多。结论近十年,云南省手足口病疫情持续逐年增长,云南省手足口病发病有明显的年龄、性别、地区和季节性差异,应有针对的在家长和幼教人员中开展健康教育。在5岁以下儿童中鼓励开展EV71疫苗接种。Objective To understand the epidemiological characteristics of hand-foot-and-mouth disease(HFMD)in Yunnan Province from 2009 to 2018,and give some preventive and control suggestions.Methods By using the cluster sampling method,the data of HFMD cases reported from China CDC Systems were collected and descriptively analyzed.Results A total of 647938 HFMD cases were reported in Yunnan Province from 2009 to 2018,and the annual average reported incidence was 138.7019/100000,increasing by 24.12% in the number of cases each year and increasing by 1.23 times in the incidence each year.The high-prevalence prefectures were Yuxi(355.6680/100000),Kunming(256.1449/100000),Lijiang(168.6435/100000),Dehong(280.6515/100000),Xishuangbanna(192.9979/100000),and Honghe(164.8012/100000).The onset time of the disease showed double peaks,from May to July(42.65%)and from October to December(23.68%),respectively.The sex ratio of incidence for men to women was 1.42:1.The children aged 1-5 years were the main morbidity population showing the highest incidence(81.23%),and in addition,the scattered living children were the main morbidity population.The public health emergencies mostly occurred in June(39 events,20.0%)and in May(35 events,17.95%).Conclusion The epidemic situation of HFMD in Yunnan Province has increased year by year in recent ten years.This disease shows distinct variation in the age,gender,areas and seasons.Therefore,the targeted health promotion should be strengthened among the parents and kindergarteners,and the vaccinations for HFMD should be encouraged in the population under 5 years old.

关 键 词：手足口病 流行特征 突发公共卫生事件 

分 类 号：R511[医药卫生—内科学]