2009~2018年新泰市羊流镇手足口病流行病学特征分析

Analysis on epidemiological characteristics of hand,foot and mouth disease,Yangliu town,Xintai city,2009-2018

目的了解新泰市羊流镇2009~2018年手足口病流行病学特征,为羊流镇手足口病的预防和控制提供依据。方法采用描述流行病学方法,对羊流镇2009年1月1日至2018年12月31日手足口病报告病例资料进行流行病学特征分析。结果羊流镇2009~2018年共报告手足口病病例1316例,其中重症36例,实验室确诊病例有32例,其余都是临床诊断病例。年均发病率为130.00/10万,呈现隔年高发的波动趋势。常年均可发病,发病有明显的季节性,主要集中在夏季6~7月,占病例报告总数的60.71%。报告病例位居首位的地区为羊流村191例,占总报告病例数的14.51%,年均发病率为188.67/10万,高于国家发病率水平;男性863例多于女性453例(P<0.01);男女性别比为1.90∶1。年龄集中在1~5岁人群,发病1088例、占82.67%。其中1~3岁人群931例、占70.74%,其他1~11月龄人群174例、占13.22%;职业以散居儿童为主(1191例、占90.50%);其次为幼托儿童(95例、占7.22%)。结论羊流镇手足口病具有发病率高、地区及季节性分布明显、以散居儿童为主的流行病学特征。

Objective To understand the epidemiological characteristics of hand,foot and mouth disease(HFMD)in Yangliu town,Xintai city from 2009 to 2018,so as to provide the evidence for its prevention and control in Yangliu town.Methods Descriptive epidemiological method was used to analyze the epidemiological characteristics of reported HFMD cases from January 1,2009-December 31,2018 in Yangliu town.Results A total of 1316 HFMD cases were reported in Yangliu town from 2009 to 2018,including 36 severe cases.There were 32 laboratory-confirmed cases,and the rest were clinically diagnosed cases.The average annual incidence was 130.00/10~5,with a fluctuating trend of high incidence every other year.The cases occurred throughout the year with obvious seasonality,peaked in June and July(60.71%).Yangliu village had the largest number of reported cases(191 cases),accounting for 14.51%and the average annual incidence was 188.67/10~5,which was higher than the national incidence level;males(863 cases)had larger number of cases than females(453 cases)(P<0.01)with the male-female ratio of 1.90:1.The cases concentrated in people aged 1-5 years old(1088 cases,82.67%).Among them,931 cases(70.74%)were found in people aged 1-3 years,and 174 cases(13.22%)were found in those aged 1-11 months old;The cases mainly distributed in scattered children(1191 cases,90.50%),followed by preschool children(95 cases,7.22%).Conclusion The epidemiological characteristics of HFMD are high incidence,obvious regional and seasonal distribution and HFMD mainly occurs in scattered children in Yangliu town.