2010年广东省云浮市手足口病流行病学分析

Epidemiology of hand foot and mouth disease in Yunfu,2010

目的了解云浮市2010年手足口病流行病学特征。方法对国家疾病监测信息管理系统监测的2010年云浮市手足口病发病情况进行描述性流行病学分析。结果云浮市2010年累计报告手足口病病例为7262例,发病率为299.33/10万。其中城镇发病2938例,发病率为401.58/10万,农村发病4324例,发病率为254.45/10万,城镇发病率高于农村(P<0.01);男性发病率为381.39/10万,女性发病率为208.86/10万,男女发病率差异有统计学意义(P<0.01);发病以低年龄组为主,5岁以下年龄组发病6047例,占83.27%,各年龄段发病率差异有统计学意义;职业分布以散居儿童为主,共报告散居儿童6050例,占83.31%;3-7月份为发病高峰,共报告3699例,占病例总数的50.94%,10月份有一个次高峰,报告病例数664例,占病例总数的9.14%。结论云浮市手足口病发病率较高,存在明显的季节、地区、性别、年龄差异,防控重点是5岁以内的散居儿童;开展手足口病的流行病学和病原学研究,将有助于制定更好的预防和控制措施。

Objective To explore the epidemiological characteristics of hand foot and mouth disease （HFMD） in Yunfu. Method Descriptive epidemiological analysis was conducted on the incidence data of HFMD in 2010 obtained from the national disease reporting information system. Results The cumulative reported number of HFMD cases had reached 7 262 in Yunfu in 2010, with a reported morbidity of 299.33/lakh. The incidence rate in those living in urban areas（401.58/lakh）was higher than that in those living in rural areas（254.45/lakh）.The incidence rate in male（381.39/lakh）was higher than that in female（208.86/lakh）.Most cases were found in the children younger than 5 years old （83.27%）.The differences on the case proportion in different age group were statistically significant. Most cases were sporadic ones. The number of incidence reached peak in March-July （50.94%） and October （9.14%）. Conclusions The incidence of HFMD is high and had significant seasonal, regional, sex-specific and age-specific differences. Great attention should be paid to children younger than 5 years old in HFMD prevention and control in Yunfu district. The epidemiological and etiological studies would facilitate the development of improved prevention and control measures.