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[目的]分析枣庄市2009年的手足口病流行特征,探讨该病的预防控制策略。[方法]采用描述流行病学方法对枣庄市2009年的手足口病疫情进行分析。[结果]2009年枣庄市共报告手足口病5141例,年发病率为137.38/10万,死亡1例,病死率为0.02%。全年均有发病,但以春末和夏季高发,发病高峰出现在4月份。农村病例占85%,城市病例占15%。病人以0～5岁患儿为主,占总发病数的93.29%,尤其是0～3岁的幼儿占大多数。各区市发病率相差较大,存在明显的地区差别。[结论]预防控制手足口病主要是采取综合性措施,包括搞好个人卫生和饮食卫生,加强重症病人的筛查和救治,降低病死率。加强农村地区6岁以下婴幼儿的防控工作是控制疫情的关键。
[Objective] To analyze the epidemic characteristics of hand-foot-mouth disease in 2009 in Zaozhuang city and to explore the prevention and control strategies of the disease. [Methods] Descriptive epidemiological method was used to analyze the 2009 hand-foot-mouth disease in Zaozhuang City. [Results] A total of 5141 HFMD cases were reported in Zaozhuang City in 2009 with an annual incidence rate of 137.38 / 100 000 and one death, the case fatality rate was 0.02%. The incidence all year round, but the late spring and summer high incidence peak appeared in April. 85% of rural cases, urban cases accounted for 15%. The patients were mainly children aged 0-5 years, accounting for 93.29% of the total number of cases, especially the children aged 0-3 years. The incidence of municipalities vary greatly, there are obvious regional differences. [Conclusion] Prevention and control of hand, foot and mouth disease is mainly to take comprehensive measures, including improving personal hygiene and food hygiene, strengthening the screening and treatment of critically ill patients and reducing the case fatality rate. Strengthening the prevention and control of infants under 6 in rural areas is the key to controlling the epidemic.