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目的分析晋江市2013—2015年手足口病流行特征,探讨其流行规律,为防控策略提供科学依据。方法利用《疾病监测信息报告管理系统》中晋江市2013—2015年手足口病报告病例信息及晋江统计年鉴,应用SPSS16.0软件,对3年间手足口病的三间分布进行描述分析,计算发病率、重症率及实验室确诊病例病毒分型构成等指标。结果2013—2015年晋江市手足口病年均发病率为260.23/10万,重症率0.25‰,无死亡病例;发病高峰在5—7月;散居儿童占79.37%,幼托儿童占18.00%;0~5岁组报告病例占95.12%;268例实验室检测阳性病例中,肠道病毒71型感染占28.73%。结论晋江市手足口病在夏季高发,冬春季也可出现流行,位于城乡结合部及市区的镇和(或)街道发病数较多,散居儿童占总发病数的比重大。社区、学校、幼托机构、游乐场所等地方是手足口病防治知识宣传工作的重点。
Objective To analyze the epidemiological characteristics of HFMD in Jinjiang City from 2013 to 2015, discuss the epidemiological rules and provide a scientific basis for prevention and control strategies. Methods Using the information of hand-foot-mouth disease reported in 2013-2015 and the Statistical Yearbook of Jinjiang from 2013 to 2015 in the Disease Surveillance Information Report Management System, SPSS16.0 software was used to describe and analyze the three distributions of hand-foot-mouth disease in 3 years and calculate the incidence Rate, rate of severe cases and laboratory diagnosis of cases of virus typing and other indicators. Results The annual incidence rate of hand-foot-mouth disease was 260.23 / lakh in Jinjiang city in 2013-2015. The critical rate was 0.25 ‰, with no deaths. The peak incidence was in May-July. The number of scattered children was 79.37% and that of child-care children was 18.00% In the group of 0 ~ 5 years old, 95.12% of the reported cases were reported. Of the 268 laboratory positive cases, the infection of enterovirus 71 accounted for 28.73%. Conclusion Hand-foot-mouth disease in Jinjiang City is more frequent in summer and can be endemic in winter and spring. There are more towns and / or streets in the junction of urban and rural areas and the proportion of scattered children in the total number of outbreaks. Community, schools, child care institutions, playgrounds and other places is the focus of prevention and treatment of hand-foot-mouth disease advocacy work.