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目的了解玉林市手足口病重症病例的流行特征,为进一步制定防控策略提供科学依据。方法运用描述性流行病学方法对2010—2011年玉林市报告的手足口病重症病例资料进行分析。结果 2010—2011年玉林市共报告手足口病22 953例,年均发病率为205.78/10万;其中重症病例260例,重症发生率为1.13%(260/22 953);死亡17例,病死率为0.07%(17/22 953)。全市7个县(市、区)均有手足口病重症病例报告,其中博白县和容县重症发生率较高,分别为2.87%(37/1 288)和2.08%(55/2 640);重症病例发病时间主要集中在4—7月,占82.69%(215/260);男性170例,女性90例,男女性别比为1.89∶1;5岁以下儿童占95.00%(247/260),散居儿童占91.92%(239/260)。病原学检测结果显示,260例重症病例中检出EV71阳性223例,占85.77%。结论玉林市手足口病重症病例发病具有明显的年龄、性别、季节和地区差异,应采取综合性防控措施加强对5岁以下散居儿童等重点人群的防控。
Objective To understand the epidemiological characteristics of HFMD in Yulin and to provide scientific evidence for further prevention and control strategies. Methods Descriptive epidemiological methods were used to analyze the data of HFMD cases reported in Yulin City from 2010 to 2011. Results A total of 22 953 hand-foot-mouth disease cases were reported in Yulin City from 2010 to 2011, with an average annual incidence of 205.78 / 100 000; of which 260 were severe cases, with a severe rate of 1.13% (260/22 953), 17 died and died The rate was 0.07% (17/22 953). Severe cases of hand, foot and mouth disease were reported in 7 counties (cities and districts) in the city. Among them, the incidence of severe diseases was 2.87% (37/1 288) and 2.08% (55/2 640) in Bobai County, ; The incidence of severe cases was mainly in April-July, accounting for 82.69% (215/260); 170 males and 90 females, with a sex ratio of 1.89:1; 95.00% (247/260) of children under 5 years old; , Scattered children accounted for 91.92% (239/260). Etiological test results showed that in the 260 cases of severe cases, 223 cases were positive for EV71, accounting for 85.77%. Conclusion The incidence of HFMD in Yulin City has significant differences in age, sex, season and area. Comprehensive prevention and control measures should be taken to strengthen prevention and control of key populations such as diaspora below 5 years old.