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目的分析甘肃省陇南市2009―2014年手足口病流行病学特征,为进一步防控手足口病提供参考依据。方法采用描述流行病学方法对陇南市2009―2014年手足口病疫情资料进行分析。结果陇南市2009―2014年共报告手足口病4 199例,年均发病率为26.69/10万。报告发病率居前3位的县(区)分别为两当县111.27/10万、徽县86.51/10万、西和县44.78/10万。发病主要集中在4―7月,共报告3 194例,占发病总数的76.07%。男性2 526例,女性1 673例,男女性别比为1.5∶1。发病主要集中于≤5岁年龄组,共报告3 803例,占病例总数的90.57%。病例职业以散居儿童(3 153例)和托幼儿童(726例)为主,分别占75.09%和17.29%。病原学监测结果以EV 71为主,占70.63%(89/126)。结论陇南市手足口病发病具有明显的地区、季节、年龄、性别和职业特征,应做好重点地区、重点时段、重点人群的防控工作。
Objective To analyze the epidemiological characteristics of HFMD in Longnan City of Gansu Province from 2009 to 2014 and provide a reference for further prevention and control of HFMD. Methods Descriptive epidemiological methods were used to analyze the data of HFMD in Longnan from 2009 to 2014. Results A total of 4,199 HFMD cases were reported in Longnan from 2009 to 2014, with an average annual incidence of 26.69 / 100 000. The top 3 counties (districts) in the report were 111.27 / 100,000 in Liangdang County, 86.51 / 100,000 in Huixian County and 44.78 / 100,000 in Xihe County, respectively. The incidence mainly concentrated in April-July, a total of 3 194 cases were reported, accounting for 76.07% of the total incidence. There were 2 526 males and 1 673 females, with a sex ratio of 1.5: 1. The incidence mainly concentrated in the age group of ≤5 years, a total of 3 803 cases were reported, accounting for 90.57% of the total cases. Case occupations were mainly scattered children (3 153 cases) and nursery children (726 cases), accounting for 75.09% and 17.29% respectively. The etiological monitoring results were mainly EV 71, accounting for 70.63% (89/126). Conclusion The incidence of hand, foot and mouth disease in Longnan City has obvious regional, seasonal, age, sex and occupational characteristics. Prevention and control work should be done in key areas, key periods and key populations.