2016~2017年长沙县手足口病疫情资料分析

Analysis of Hand, Foot and Mouth Disease Epidemic Data in Changsha County from 2016 to 2017

目的:分析长沙县手足口病疫情动态及其流行情况,为卫生行政部门的预防控制工作提供相关科学依据。方法:利用流行病学方法和SPSS 23软件对2016~2017年长沙县手足口病监测资料进行描述性分析。结果:2016~2017年长沙县共报告手足口病病例11133例,年均发病率719.53/10万,2016年与2017年发病率进行比较,2017年比2016年有所降低;男女发病比例为1.39∶1,男性与女性发病率进行比较,男性比女性高;发病年龄最小为1日龄,最大为64岁,以0~5岁为主,占总报告病例数的92.9%,以散居儿童为主;两年内仅报告1例重症病例,无死亡病例发生;发病呈现明显的季节性,发病呈现双高峰现象,两个高峰分别为4~7月和9~12月;各地区间发病率差异明显,星沙街道最高,其次为泉塘街道和湘龙街道,开慧镇最低。结论:长沙县手足口病的疫情形势严峻,发病率高,存在明显季节性,应加强重视相关预防控制工作,特别是对5岁以下儿童进行针对性的防护。

Objective To analyze the prevalence state of Hand,Foot and Mouth Disease(HFMD)in Changsha County and provide scientific basis for the prevention and control of HFMD in the health administrative departments.Methods Epidemiological methods and SPSS software were used to describe and analyze the surveillance data of HFMD in Changsha County from 2016 to 2017.Results From 2016 to 2017,11133 cases of Hand,Foot and Mouth Disease were reported in Changsha County,with an average annual incidence of 719.53/100,000.The incidence of Hand,Foot and Mouth Disease was tested in 2016 and 2017,and the difference was statistically significant.The incidence rate of men and women was 1.39∶1,and the difference was statistically significant.The youngest age of onset was 1 day,and the oldest was 64 years old,with 0~5 years as the main age,accounting for the total report.92.9%of the reported cases were scattered children;1 case of severe illness was reported in two years without death;the incidence showed obvious seasonality,and the incidence showed double peaks,the two peaks were April-July and September-December.There are obvious differences in the incidence among different regions.Xingsha Street is the highest,followed by Quantang Street and Xianglong Street,Kaihui Town is the lowest.Conclusion The epidemic status of HFMD in Changsha County is serious,the incidence is high,and there is obvious seasonality.We should pay more attention to the prevention and control of HFMD,especially for children under 5 years old.