2009—2010年沈阳市苏家屯区手足口病流行特征

Epidemiological characteristics of hand foot and mouth disease in Sujiatun District of Shenyang city 2009-2010

目的掌握手足口病流行趋势,为制定预防控制措施提供准确依据。方法利用描述流行病学方法分析沈阳市苏家屯区手足口病疫情资料。结果 2009—2010年手足口病年均报告发病率为113.15/10万,各年度报告发病率差异有统计学意义(P<0.01);男性为135.38/10万,女性为90.25/10万,差异有统计学意义(P<0.01),男女性别比为1.54∶1;6—9月报告发病数占全部报告发病数的83.37%,散居儿童、幼托儿童2项职业报告手足口病发病数分别占全部报告发病数的48.05%和46.21%;0～5岁年龄组报告发病数占发病总数90.76%,其中2～4岁年龄组占报告发病总数66.25%。结论沈阳市苏家屯区手足病呈典型的夏秋季发病高峰,职业高峰明显,并呈典型的婴幼儿发病高峰。该区应落实托幼机构各项传染病预防控制措施,做好卫生宣传和健康教育工作,做好疫情动态监测,及时发现高发态势并预警;做好应急处理,有效控制疫情蔓延。

[Objective]To grasp the epidemic trend of hand foot and mouth disease,provide the accurate basis for developing the prevention and control measures. [Methods]The epidemic data of hand foot and mouth disease in Sujiatun District of Shenyang City were analyzed by descriptive epidemiological method. [Results]During 2009-2010,the average annual reported incidence of hand foot and mouth disease was 113.15/lakh,and there was significant difference in annual reported incidence among different years（P0.01）.The incidence in males and females was 135.38/lakh and 90.25/lakh respectively,the difference was significant（P0.01）,and the male-to-female ratio was 1.54∶1.83.37% of cases occurred from June to September.The scattered children and kindergarten children respectively accounted for 48.05% and 46.21% of total reported cases.90.76% of cases were children aged 0-5 years old,and 2-4 years old group accounted for 66.25% of total reported cases. [Conclusion]There is a typical summer-autumn peak in incidence of hand foot and mouth disease in Sujiatun district of Shenyang city,the occupational peak is obvious,and infants have high incidence.It is important to implement the infectious disease prevention and control measures in nurseries and kindergartens,carry out the health publicity and education,take the dynamic monitoring of the epidemic situation,detect the high momentum and conduct early warning in time,carry out the emergency treatment,so as to effectively control the epidemic spread.