2010年福州市手足口病流行病学分析

Epidemiological Analysis on Hand-foot-mouth Disease Cases in Fuzhou City,2010

[目的]了解福州市手足口病流行病学特征,为制订相关预防控制措施提供科学依据。[方法]采用描述性流行病学分析方法对2010年福州市手足口病疫情资料和部分病例实验室检测资料进行分析。[结果]2010年福州市共报告手足口病病例11 849例,发病率为175.05/10万,其中重症病例279例,死亡6例。年发病率,鼓楼区为185.66/10万,台江区为263.31/10万,仓山区为490.51/10万,晋安区405.53/10万,平潭县为215.89/10万。11 849例中,4~7月发病占61.77%,其他月份占38.23%;5岁及以下占95.09%;散居儿童占73.13%,托幼儿童占23.76%。EV71阳性占76.97%,Cox A16阳性占22.22%。[结论]福州市2010年手足口病疫情呈现明显上升趋势,病原主要是肠道病毒71型和柯萨奇病毒A16型。

[Objective]To understand the epidemiological characteristics of hand-foot-mouth cases in Fuzhou city,so as to offer the proof for the establishment of preventing and controlling measures.[Methods]Descriptive epidemiological method was used in analysis of epidemic data and laboratory testing of patients with hand-foot-mouth disease.[Results]There were 11 849 hand-foot-and-mouth diseases cases and the incidence was 175.05/105 in Fuzhou city.There were 279 severe cases with hand-foot-mouth disease and the deaths was 6.The annual morbidity in Gulou district was 185.66/105,in Tajiang district was 263.31/105,in Cangshan district was 490.51/105,in Jin’an district was 405.53/105,in Pingtan county was 215.89/105.From April to July,there were 61.77% cases reported.95.09%cases aged below 5 years.73.13% cases were scattered children,23.75% cases were child-care children.76.97% cases were positive samples of enterovirus71 type and 22.22% cases were positive samples of coxsackie viruses A16 type.[Conclusion]The status of hand-foot-mouth disease in Fuzhou presents clear ascendant trend.Pathogen is mainly enterovirus71 type and coxsackie viruses A16 type.