2009年大连市中山区手足口病突发事件分析

Analysis of the Emergency of Hand-foot-mouth Disease in Zhongshan District in Dalian City in 2009

[目的]探讨突发事件的相关因素,为有效控制突发事件的发生提供防治策略和依据。[方法]对2009年大连市中山区手足口病疫情资料和突发事件资料进行分析。[结果]2009年大连市中山区发生手足口病突发公共卫生事件7起,在6家托幼机构合计发病91例,无死亡,占同期全区手足口病发病总数270例的33.70%。7起中,6月发生1起、15例,7月发生3起、43例,8月发生3起、33例;公立幼儿园发生4起、51例,私立幼儿园3起、40例,罹患率分别为8.40%、17.94%(P<0.01)。检测91例患儿的粪便标本,8例EV71阳性。[结论]中山区的手足口病突发公共卫生事件均发生在幼儿园,可能由幼儿之间密切接触传播引起。

[Objective]To explore the related factors of the emergent events, provide basis and strategies for effective control and prevention of the occurrence of the disease. [Methods]Epidemic and emergent event data of hand-foot-disease in Zhongshan district in Dalian in 2009 were analyzed. [Results]Altogether 7 events of public health emergency of hand- foot-mouth disease were reported in Dalian in 2009,and 91 cases were reported in 6 kindergartens, no death case was reported. The cases reported in kindergartens accounted for 33.70% of the total cases（270） reported in the district at the same time. Of the 7 events, 1 event was reported in June,evolving 15 patients,3 and 3 events in July and August involving 43 and 33 patients respectively,4 and 3 events were reported in public and private kindergartens,involving 51 and 40 par tients. The incidence rate was 8.40% and 17.94% respectively （ P〈0.01）. Stool examination was conducted for 91 child cases,8 of them were positive for EV71. [Conclusion]The events of public health emergency of hand-foot-mouth disease were reported in kindergartens and it may be transmitted by close contacts.