2008年宣城市手足口病流行病学特征分析

Epidemiological Characteristics of Hand-foot-mouth disease in Xuancheng Region in 2008

目的对宣城市2008年报告的手足口病进行流行病学特征分析,为以后防控措施提供科学依据。方法利用"国家疾病监测信息报告管理系统"报告的手足口病病例结合个案调查表、重症病例临床资料进行描述性流行病学分析。结果2008年宣城市共报告手足口病987例,年发病率35.97/10万,发病以5～7月为高峰,0～5岁儿童占93.31%,轻型病例占99.49%,农村中散居儿童占发病多数。基本呈散发状态,但也发生5起聚集性案例。重症病例中以EV71感染为主。结论应强化落实5岁以下儿童的预防控制措施,特别是农村地区。要进一步提高诊疗水平,防止死亡病例发生。

Objective To analyze epidemiological characteristics of HFMD reported in Xuancheng region in 2008 and provide evidence for the disease control.Methods Descriptive statistical analysis was applied to HFMD cases reported by China Information System For Diseases Prevention And Control,combined with case questionnaire and clinical data of severe case.Results 987 cases were reported in Xuancheng Prefecture in 2008.Annual incidence rate was 35.97/100,000.The peak seasons were from May to July.Patients aged from 05 years were 93.31% and mild cases were 99.49%.And it was mainly attacked scattered children in the rural areas.Highly sporadic distribution was observed in the cases reported.But there were 5 case clusters.Enterovirus 71 was maily pathogen of severe cases.Conclusion We need to develop measures to prevent and control HFMD in children under 5 years old in rural areas.Diagnosis and treatment level should be improved in order to reduce death rate indured by the disease.