论文部分内容阅读
目的了解2010—2013年藤县手足口病流行特征,为制定手足口病防控措施提供科学依据。方法采用描述性流行病学方法对藤县2010—2013年手足口病疫情资料进行分析。结果2010—2013年,藤县共报告手足口病6 666例,年均报告发病率为191.31/10万,各年发病率分别为149.37/10万、301.86/10万、137.73/10万、182.71/10万;藤县各乡镇均有病例报告,其中藤州镇发病数最多,占病例总数的35.64%(2 376/6 666);全年均有病例报告,5—7月为发病高峰,占总病例数的50.35%(3 356/6 666)。5岁以下儿童占88.42%(5 894/6 666);男性4 144例,女性2 522例,男女性别比为1.64∶1;职业以散居儿童发病最多,共5 694例,占85.42%(5 694/6 666)。实验室共检测病例咽拭子样本311份,检出阳性216份,阳性率为69.45%。其中EV 71阳性103份,占阳性总数的47.69%;CV A16阳性41份,占阳性总数的18.98%;其他肠道病毒阳性72份,占阳性总数的33.33%。结论 2010—2013年藤县手足口病发病以5岁以下散居儿童为主,应采取综合性防治措施加强对散居儿童等重点人群的手足口病防控工作。
Objective To understand the epidemiological characteristics of hand, foot and mouth disease in Tengxian during 2010-2013 and provide a scientific basis for the prevention and control measures of hand, foot and mouth disease. Methods Descriptive epidemiological methods were used to analyze the epidemic data of HFMD in Teng County from 2010 to 2013. Results Tengxian reported a total of 6 666 hand-foot-mouth disease cases from 2010 to 2013, with an average annual incidence rate of 191.31 / 100 000, with incidences of 149.37 / 100000, 301.86 / 100000, 137.73 / 100000, 182.71 / 100,000; Tengzhou township have case reports, of which the highest incidence of Tengzhou town, accounting for 35.64% (2 376/6 666) of the total number of cases; annual case reports, peak incidence in May-July, Accounting for 50.35% (3 356/6 666) of the total number of cases. 88.42% (5 894/6 666) of children under 5 years of age; 4 144 males and 2 522 females, with a sex ratio of 1.64:1; the incidence of diaspora occupational diseases was the highest in a total of 5 694 cases (85.42%) 694/6 666). A total of 311 throat swab samples were detected in the laboratory, 216 were positive, the positive rate was 69.45%. Among them, 103 were positive for EV71, accounting for 47.69% of the total; 41 were positive for CV A16, accounting for 18.98% of the total; 72 were positive for other enteroviruses, accounting for 33.33% of the total. Conclusion The incidence of hand, foot and mouth disease in Teng County in 2010-2013 is dominated by scattered children under 5 years old. Comprehensive prevention and control measures should be taken to prevent hand-foot-mouth disease in key populations such as diaspora.