长治市2012年手足口病流行病学特征分析

Epidemiologic Analysis of Hand-foot-mouth Disease in Changzhi city in 2012

目的:分析2012年长治市手足口病流行病学特征,为控制手足口病提供科学依据。方法:收集长治市2012年全市县区各类医疗机构报告的手足口病报告卡信息及部分实验室检测结果,应用描述流行病学方法进行分析。结果:2012年共报告手足口病病例5 324例,报告发病率为159.66/10万,重症病例119例,死亡5例。其中男性3 108例,女性2 216例,男女性别比为1.40∶1。长治市13个市县(区)均有手足口病病例发生。全年各月均有手足口病例,以5、6、7三个月发病比较集中,占全年病例的82.10%。病例年龄分布以低年龄组为主,6岁以下儿童占全部病例的94.97%。检测272份样本,EV71阳性率为79.78%。结论:长治市手足口病的发生与年龄、性别、季节和地区关系密切。应重视6岁以下儿童手足口病的防控工作,同时加强手足口病监测工作。

Objective ： The epidemiological characteristics of hand-foot-mouth disease in Changzhi in year 2012, were described so as to provide scientific basis for the controlling and prevention of hand-foot-mouth disease.Methods ： The data were collected from all the case reports related to hand-foot-mouth disease in Changzhi in year 2012.Results ： 5 324patients of HFMD were reported in 2012, the incidence was 159.66per 100 000.119cases with serious illness were repored, and 5died.Of all the patients, 3 108were male while 2 216 were female, and the male to female ratio was 1.40∶1.All the 13counties in Changzhi reported cases.The case number from May to July was larger than the other months, accounted for 82.10%of total cases.Most cases were children, 94.79%of all the cases were younger than 6years old.Of the 272samples tested, the positive percentage of EV71was 79.78%.Conclusion ： Age, gender, seasonal and regional distribution were closely related to the incidence of the HFMD.We should take more active actions on the work of prevention and control of the HFMD, especially for children younger than 6years old.The monitoring of HFMD should be paid more attention to in the future.