上海市金山区2008-2010年手足口病流行病学特征分析

Epidemiological Characteristics of Hand Foot and Mouth Disease in Jinshan District,Shanghai,2008-2010

目的了解上海市金山区手足口病疫情流行特征，为制定预防和控制措施提供参考依据。方法对金山区2008—2010年疾病监测信息报告系统上报的手足口病病例进行描述性流行病学分析。结果2008—2010年金山区共报告手足口病病例3370例，年发病率在130．13／10万～209．37／10万之间，呈“V”分布；男性发病高于女性，以散居儿童和幼托儿童为主，集中于0～5岁组，占发病总数的95．04％；病例集中分布于5—6月份；各镇（街道）均有病例发生；幼托机构是发生手足口病聚集性疫情的主要场所，占疫情总数的94．57％，病原学监测以肠道病毒CoxAl6为主，占39．16％，引起重症病例的病原体主要是肠道病毒EV71，占重症总数的90．00％。结论金山区手足口病发生有明显的年龄、性别、职业和季节差异，应做好社区5岁及以下儿童手足口病防控工作是当前手足口病防控工作的重中之重。

Objective To understand the epidemiological characteristics of hand foot and mouth disease （HFMI）） in Jins- ban District of Shanghai, and provide reference for framing prevention and control measures. Methods The cases with HFMD in Jinshan District of Shanghai reported from China Disease Surveillance Information Reporting System during 2008 and 2010 were analyzed with descriptive epidemiology. Results A total of 3,370 HFMD cases were reported, with an annual in- cidence of 130.13/lakh - 209.37/lakh. The annual incidence in males was higher than that in females. The majority of the cases were scattered - living children and kindergarten children. Children aged 0 - 5 years were in high risk, accounting for 95.0496 of the total. The incidence peak occurred during May and June, All of the towns （streets） had cases occurring. Preschool was the main gathering epidemic place of HFMD, accounting for 94.57 % of the total. Pathogen monitoring showed that intestinal virus CoxA16 was the main pathogen, accounting for 39.16% of the total, while intestinal virus EV71 was the main pathogen of se- vere cases , accounting for 90.00 %. Conclusions HFMD occurrence in J inshan district of Shanghai shows significant differ- ence in age, sex, occupation and season. To prepare HFMD prevention and control for children under 5 years old in community is the current priority.