2013—2022年广州市海珠区手足口病流行病学特征分析  

Analysis on epidemiological characteristic of hand,foot and mouth disease in Haizhu District of Guangzhou from 2013 to 2022

作　　者：夏芳芳 江春苗[1] 周莹[1] 吴迪 杨森林 刘青连[1] 张晓[2] XIA Fangfang;JIANG Chunmiao;ZHOU Ying;WU Di;YANG Senlin;LIU Qinglian;ZHANG Xiao(Guangzhou Haizhu District Center for Disease Control and Prevention,Guangzhou,Guangdong 510288,China;不详)

机构地区：[1]广州市海珠区疾病预防控制中心,广东广州510288 [2]广州市疾病预防控制中心

出　　处：《医学动物防制》2025年第4期330-334,共5页Journal of Medical Pest Control

基　　金：广东省自然科学基金(2019A1515011407);广州市卫生健康科技项目(20221A011071);广州市海珠区科技工业商务和信息化局(海科工商信计2017-44)。

摘　　要：目的分析2013—2022年广州市海珠区手足口病(hand-foot-mouth disease,HFMD)的流行病学特征,为手足口病的防控提供科学依据。方法通过中国疾病预防控制信息系统和广州市学生健康监测系统收集2013—2022年广州市海珠区手足口病病例信息,描述其流行病学特征,采用圆形分布法分析其季节特征。结果2013—2022年广州市海珠区累计报告手足口病病例46472例,年均报告发病率为275.30/10万。4—9月为发病高峰期,占病例总数的80.02%,圆形分布法显示平均集中趋势值γ=0.459(Z=9803.790,P<0.001),存在一定季节性。发病高峰日为7月8日,平均流行高峰期为4月29日—9月21日;海珠区各街道均有HFMD病例报告;男、女年均发病率分别为318.13/10万、229.32/10万,男性发病率高于女性(χ^(2)=1210.841,P<0.001)。6岁以下儿童报告42930例,占92.38%,职业分布以散居儿童为主,占73.46%,其次为托幼儿童和学生。结论2013—2022年广州市海珠区手足口病发病率高,分布较广,存在一定季节性,6岁以下儿童高发,应进一步加强重点地区、高发季节、高发人群的防控。Objective To analyze the epidemiologic features of hand,foot and mouth disease(HFMD)in Haizhu District of Guangzhou from 2013 to 2022,so as to provide scientific basis for the prevention and control of the disease.Methods Epidemiologic features of HFMD cases in Haizhu District of Guangzhou,from 2013 to 2022 were described based on hand,foot and mouth disease cases information collected from the China disease prevention and control information system and the Guangzhou student health monitoring system.Seasonal features were analyzed using the circular distribution method.Results A total of 46472 cases were cumulative reported in Haizhu District of Guangzhou from 2013 to 2022,with an average annual reported incidence rate of 275.30/100000.The peak period was from April to September,accounting for 80.02%of the total number of cases.The circular distribution method showed an average central tendency value ofγ=0.459(Z=9803.790,P<0.001)with some seasonality.Peak day of incidence was July 8,average peak epidemic period was April 29 to September 21.HFMD cases were reported across all streets in Haizhu District.The average annual incidence rate among males was 318.13/100000,significantly higher than the 229.32/100000 observed in females(χ^(2)=1210.841,P<0.001).Children were reported under the age of six accounted for 42930 cases,or 92.38%of the total.Among occupational distribution,73.46%were scattered children,followed by preschoolers and students.Conclusion HFMD in Haizhu District exhibits a high incidence rate,widespread distribution,with some seasonality,particularly affecting children under six years of age.Enhanced prevention and control efforts are needed,especially in key regions,during peak seasons,and among high-risk populations.

关 键 词：手足口病 流行病学 季节性 儿童 圆形分布法 

分 类 号：R725.1[医药卫生—儿科] R181.3[医药卫生—临床医学]