2009～2011年钦州市手足口病流行病学特征分析

Epidemiological analysis of hand-foot-and-mouth disease in Qinzhou city from 2009 to 2011

目的分析2009～2011年钦州市手足口病流行病学特征,为预防控制手足口病提供参考依据。方法对2009～2011年钦州市疾病监测信息报告系统上报的手足口病病例进行描述流行病学分析。结果 2009～2011年钦州市共报告手足口病病例9580例,重症病例63例,无死亡病例。年发病率在39.47/10万～204.19/10万之间,呈现上升趋势,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,报告病例中<3岁的占82.66%,病原学检测手足口病标本334份,阳性115份,阳性率为34.43%,病例集中在4～6月份。结论 2009～2011年钦州市手足口病整体高发呈点多、面广、局部有暴发的流行特征。发病有明显的年龄、性别、职业和季节差异。做好5岁以下儿童手足口病防控工作是手足口病防控工作的重中之重。

Objective To analyze the epidemiological characterization of hand-foot-and-mouth disease in Qinzhou city from 2009 to 2011, aimed to provide basis for prevention and control of hand-foot-and-mouth disease. Methods Characterization of descriptive epidemiology of patients with hand-foot-and-mouth disease were analyzed according to the National Electronic Disease Surveillance System in Qinzhou city from 2009 to 2011. Results 9 580 cases were reported in Qinzhou city,63 cases of serious conditions included. There was no death case. Annual inci- dence ranged from 39.47/100000 to 204. 19/100000, showing a V distribution. The morbidity in male was higher than that in female. Hand-foot-and-mouth disease mainly occurred in scattered children and children in kindergarten, aging from 0 ~ 5 years old. Among them, the morbidity of children under 3 years old was 82.66%. The positive rate of EV71 was 81.61% according to the etiology detection. Hand-foot-and-mouth disease mainly occurred from April to June. Conclusion Tlle epidemiological characteristics of hand and mouth disease in Qinzhou from 2009 to 2011, were whole high incidence, multi-points, wide range and local outbreak, there was s significant age difference, gender, occupation. Preventing the children under 5 years old from hand-foot-and-mouth disease is the key to control the hand- foot-and-mouth disease.