2011年眉山市手足口病疫情分析

Hand-foot-mouth Disease in Meishan,2011

目的掌握眉山市手足口病流行规律,有针对性地提出防治措施建议。方法对国家疾病监测信息系统中眉山市手足口病资料及实验室检测结果进行分析。结果眉山市2011年报告发病3 469例,其中重症病例51例,死亡3例,年报告发病率117.57/10万,重症发生率为1.47%,报告发病率居全市报告法定传染病首位,占发病总数的31.34%;5岁以下儿童发病数占发病总数的94.16%,其中1～2岁组的发病数最多,占发病总数的61.06%,幼托儿童和散居儿童病例数分别占总数的38.11%和58.26%。4季均发病,5-6月及11月分别呈大小双峰,优势病原体为EV71。结论眉山市2011年手足口病报告发病率较高,应加强疫情监测,严格医疗机构传染病预检分诊、托幼机构晨午检和缺课追因制度,加大重点场所、人群的健教宣传力度,提高群众防控意识,防控工作重点为散居和幼托儿童。

ObjectiveTo master the epidemic regularity of hand - foot - mouth disease （HFMD） in Meishan, so as to propose prevention and control measures. Methods Data from national disease surveillance information system and laboratory test results were statistically analyzed. Results The total number of HFMD cases was 3 469 in 2011 in Meishan. There were 51 severe cases and 3 dead. The annual incidence rate was 117.57/ 105 and incidence rate of severe cases was 1.47%. The incidence was ranked 1st in the reported incidences of legal infections diseases in the city, accounting for 31.34% of the total cases. Cases under 5 years old took a great portion of 94. 16%, among which infants aged of 1 - 2 years accounted 61.06% of the total. Cases distributed in all the four seasons, and respectively showed large and small peaks in May- June and November. The advantage pathogen was EV71. Conclusion There was a relatively high reported incidence rate of HFMD in 2011 in Meishan. Targeted measures such as strengthened surveillance, preexamination triage, morning and noon inspection and cause tracking of absence in nurseries, health publicity, etc. , should be timely carried out.