2008～2010年大石桥市手足口病疫情分析

Epidemic analysis of hand,foot and mouth disease in Dashiqiao District from 2008 to 2010

目的:了解大石桥市手足口病流行特征,为今后防治工作提供依据。方法:对大石桥市2008～2010年手足口病疫情资料进行分析。结果:2008～2010年共报告手足口病2168例,年平均发病率为99.87/10万。死亡2例,病死率为0.09%。全市18个镇区均有发病,其中石桥管理区发病率最高,为168.79/10万,沟沿镇发病率最低,为42.26/10万。5～8月为发病高峰共发病1843例,占85.01%。发病主要集中在5岁(包括5岁)以下儿童,发病1990例占总病例数的91.79%;散居儿童1308例占60.33%,幼托儿童749例占34.55%。共检测病例便检标本64份,检出阳性54份,其中EV71型37份占检测标本的57.81%,cox16型13份占检测标本20.31%,其他肠道病毒型4份占检测标本的6.25%。结论:大石桥市手足口病发病率较高,今后工作的重点是疾控部门做好手足口病疫情监测工作,一旦发现疫情要采取果断措施;学校和托幼机构要大力开展健康教育,医疗机构加强手足口病的早期诊断与治疗。

Objective： To investigate the epidemic features of hand, foot and mouth disease, thus to provide evidence for future prevention and control measures. Methods： Epidemic situation data of hand, foot and mouth disease in Dashiqiao District from 2008 to 2010 was performed. Results： A total of 2 168 cases of hand, foot and mouth disease was reported from 2008 to 2010, with an average annual incidence rate of 99.87/10 million. Among all the patients, 2 cases died, resulted in a mortality rate of 0.09%. All of the city＇s townships reported cases of the disease, among which the highest inci- dence was 168.79/100 thousand in Shiqiao directorial area and the lowest incidence was 42.26/100 thousand in Gouyan town. May to August was the peak period of disease onset, reporting a total of 1 843 cases and accounting for 85.01% of all the cases. Patients were mainly children younger than （including） five years old, with a total of 1 990 cases, which was 91.79% of the total cases. 1 308 cases （60.33%） were scattered children and 749 cases （34.55%） were children in kinder- garten. 64 stool samples of the patients were examined and 54 samples results were positive, of which 37 samples （57.81%） were EV71, 13 samples were coxl6 type （20.31%） and the rest 4 samples （6.25%） were enteric viruses. Conclusion： Dashiqiao city has high incidence of hand, foot and mouth disease. Future focus of disease prevention and control organiza- tions in the region should be on the monitoring of the disease epidemic, and decisive measures should be taken immediately after disease outbreak; Schools and nurseries need to vigorously carry out health education and medical institutions need to strengthen early diagnosis and treatment of hand, foot and mouth disease.