2018年北京市昌平区手足口病流行特征及经济负担分析  

Analysis on epidemic characteristics and economic burden of hand-foot-mouth disease in Changping District of Beijing in 2018

作　　者：王瑞琴[1] 蔡旭[1] 李飒[1] 金文军[1] 刘重程[1] 唐雅清[1] 金莹莹 WANG Rui-qin;CAI Xu;LI Sa;JIN Wen-jun;LIU Zhong-cheng;TANG Ya-qing;JIN Ying-ying(Infectious and Endemic Disease Control Department,Changping District Center for Disease Control and Prevention,Beijing,102200,China)

机构地区：[1]北京市昌平区疾病预防控制中心传染病与地方病控制科,北京102200

出　　处：《职业与健康》2020年第18期2533-2536,2541,共5页Occupation and Health

摘　　要：目的了解2018年北京市昌平区手足口病的流行特征及经济负担状况,为科学防控提供依据。方法采用描述流行病学方法分析手足口病流行特征,采用SPSS 22.0统计分析手足口病经济负担。结果北京市昌平区为手足口病高流行区,人群以散居及托幼儿童为主,季节特性呈夏季单峰流行,人群密集、外来人口聚集的地区,尤其是城乡接合部是手足口病的高发地区,重症病例和聚集性疫情的时间分布与流行高峰吻合。病原学以肠道病毒柯萨奇A组6型(CoxA6)和其他肠道病毒为主,重症病例以CoxA6为主。调查的158例手足口病患者总经济负担为426645.18元,人均2700.29元,轻症病例总经济负担358846.04元,人均2315.14元,重症病例总经济负担67799.14元,人均22599.71元。结论北京市昌平区手足口病具有明显的人群、地区及时间分布特征,手足口病经济负担较重。CoxA6成为手足口病的主要病原体且在重症病例间发生。开展CoxA6病原学监测及经济负担的影响因素研究、加强托幼机构卫生监管,宣传手足口病的防控知识,落实消毒隔离等干预措施,以减少手足口病的传播和流行,从而降低手足口病的经济负担。Objective To understand the epidemic characteristics and economic burden of hand-foot-mouth disease(HFMD)in Changping District of Beijing in 2018,provide basis for scientific prevention and control.Methods The epidemic characteristics of HFMD were analyzed by descriptive epidemiology,and the economic burden of HFMD was analyzed by SPSS22.0 statistics.Results Beijing Changping District was a high-prevalence area for HFMD.The population was dominated by scattered and kindergarten children.The seasonal characteristics were peak season in summer.The areas with dense populations and concentrated populations,especially in the urban rural junction,were high-prevalence areas for HFMD.The time distribution of severe cases and agglomeration epidemics was consistent with the peak of epidemic.Etiological analysis showed that enterovirus Coxsackie group A type 6(CoxA6)and other enteroviruses were the main pathogens,and severe cases were mainly CoxA6.The total economic burden of the 158 cases investigated was 426645.18 yuan,with an average of 2700.29 yuan.The total economic burden of the mild cases was 358846.04 yuan,with an average of 2315.14 yuan,and the total economic burden of severe cases was 67799.14 yuan,with an average of 22599.71 yuan.Conclusion The prevalence of HFMD in Beijing Changping District has obvious distribution characteristics of population,region and time.The economic burden of HFMD is heavy.CoxA6 is the main pathogen of HFMD,especially occurs in severe cases.To carry out CoxA6 pathogen monitoring and research on the influencing factors of economic burden,strengthen the health supervision of nurseries and kindergartens,publicize the prevention and control knowledge of HFMD,and implement disinfection and isolation measures can reduce the spread and prevalence of HFMD,so as to effectively reduce the economic burden of HFMD.

关 键 词：手足口病 流行特征 经济负担 

分 类 号：R181.3[医药卫生—流行病学]