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目的分析福鼎市2009~2012年手足口病的流行病学特征,为福鼎市手足口病的防控提供依据。方法从《中国疾病预防控制信息系统》中将2009~2012年福鼎市手足口病网络直报个案信息导出,运用描述性流行病学方法进行分析。结果 2009~2012年福鼎市共报告手足口病5 332例,年均报告发病率为230.54/10万,重症率1.69‰,病死率0.75‰;发病高峰在6~9月,有明显的季节性;男性多于女性,病例主要集中在5岁及5岁以下幼儿(5 173例,占97.02%);发病人群以散居儿童为主(4 426例,占83.01%);城区发病率高于农村(P<0.01)。结论福鼎市手足口病的发病存在明显的性别、年龄、人群、季节差异,低龄、散居幼儿是感染EV71后发生重症和死亡的危险因素,流行季节应加强3岁以下散居儿童手足口病的防控工作。
Objective To analyze the epidemiological characteristics of hand-foot-mouth disease in Fuding City from 2009 to 2012, and provide evidence for the prevention and control of hand-foot-mouth disease in Fuding City. Methods From the information system of Chinese disease prevention and control, the cases of direct reporting of hand, foot and mouth disease from 2009 to 2012 in Fuding were derived and analyzed by the method of descriptive epidemiology. Results A total of 5 332 hand-foot-mouth disease cases were reported in Fuding City from 2009 to 2012, with an average annual incidence rate of 230.54 / 100 000, a severe disease rate of 1.69 ‰ and a fatality rate of 0.75 ‰. The peak incidence peaked from June to September with obvious seasons (5 173 cases, accounting for 97.02%); the incidence of the disease was mainly scattered children (4 426 cases, accounting for 83.01%); the incidence of urban areas was higher than that of the children Rural (P <0.01). Conclusions The incidence of HFMD in Fuding is obviously different according to gender, age, crowd and season. Young children and scattered children are the risk factors of severe and fatal infection after EV71 infection. In the epidemic season, hand-foot-mouth disease should be strengthened in children under 3 years of age Prevention and control work.