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目的了解张家口市2008-2010年手足口病流行特征,为做好手足口病的防控工作提供科学依据。方法采用描述性流行病学分析方法对2008-2010年手足口病病例进行分析。结果我市2008-2010年共报告手足口病例14 529例,各年发病率分别为:53.10/10万、114.80/10万、163.13/10万,实验室确诊病例330例,EV71 115例、CoxA16 122例、其他HEV93例;全市4区13县3年均有病例报告,北京周边地区为高发地区;2008年发病高峰为5～11月份,2009、2010发病高峰集中在7月份;各年发病主要集中在0～5岁儿童,男性多于女性,男:女为1∶0.73,职业分布以散居儿童、托幼儿童、学生为主。结论我市2008-2010年发病呈逐年增高趋势,流行毒株在今后几年仍将保持多样化,EV71、CoxA16、其他HEV同时并存,今后应加强对重点地区、重点人群的监测、管理,以控制我市手足口病疫情的发生。
Objective To understand the epidemic characteristics of hand, foot and mouth disease in Zhangjiakou from 2008 to 2010 and provide a scientific basis for the prevention and control of hand, foot and mouth disease. Methods A descriptive epidemiological analysis was conducted on cases of HFMD in 2008-2010. Results A total of 14 529 HFMD cases were reported from 2008 to 2010 in our city, with annual incidence rates of 53.10 / 100,000, 114.80 / 100,000, 163.13 / 100,000 respectively, laboratory confirmed cases of 330, EV71 of 115, CoxA16 122 cases, 93 cases of other HEV; the city’s 4 districts and 13 counties have 3 years of case reports, Beijing area is high incidence area; 2008 peak incidence of 5 to 11 months, 2009,2010 peak incidence concentrated in July; Focus on 0 to 5-year-old children, more men than women, men: women 1:0.73, occupational distribution of scattered children, nurseries and children, mainly students. Conclusion The incidence in our city from 2008 to 2010 is increasing year by year. The epidemic strains will remain diversified in the next few years. EV71, CoxA16 and other HEV co-exist at the same time. In the future, we should strengthen the monitoring and management of key populations and areas Control the occurrence of HFMD in our city.