2008—2012年安顺市手足口病疫情流行趋势分析

Epidemic trend of HFMD in Anshun City from 2008-2012

目的掌握安顺市手足口病发病强度和流行趋势，为制定手足口病防制规划提供依据。方法利用Microsoft office excel2003软件进行统计、汇总，采用描述流行病学方法对手足口病疫情数据进行分析。结果2008--2012年安顺市手足口病共报告3439例，年均发病率为28．45／10万，各年度发病率差异有统计学意义（P〈0．01）。4—7月份共报告2473例，占全部发病总数的71．91％。男性发病率为34．59／10万，女性发病率为21．79／10万，男女发病比为1．72：1，男女手足口病发病率差异有统计学意义（P〈0．01）。散居和托幼儿童共报告发病3228例，占全部手足口病病例的93．86％。其中散居儿童报告发病2234例，占全部手足口病发病的64．96％；托幼儿童报告发病994例，占全部手足口病发病的28．90％；学生及其他职业报告211例，占全部手足口病发病的6．14％。以0～5岁年龄组为主，共报告发病3220例，占发病总数的93．63％。结论安顺市手足口病疫情呈逐年上升趋势，且发病存在明显的季节和人群差异。在流行季节要加强疫情监测和健康教育宣传，开展好爱国卫生活动，采取综合性措施控制疫情。

[ Objective] To investigate the incidence and epidemic features of Hand foot and mouth disease （I-IFMD） in Anshun City, and provide evidence for developing the control plan. [ Methods] Microsoft Office Excel 2005 software was used for statistical analysis and summary, descriptive epidemiology was used to analyze the epidemic data of HFMD. [ Results ] From 2008-2012, a total of 3 439 cases of HFMD were reported in Anshun City, with annual incidence of 28.45/100 000, the difference was significant between years（P 〈 0.01}. From April to July, 2 473 cases were reported, accounted for 71.91% of total cases. The male inci- dence rate was 34.59/100 000 and the female incidence rate was 21.79/100 000, the ratio of male to female was 1.72： 1, with significant difference （ P 〈 0.01 ）. There were 2 234 cases of scattered children, occupying 64.96% of total cases ; 994 cases of preschool children, occupying 28.90% ; 221 cases of students and others, occupying 6.14%. Most cases were children aged 0-5 years { 3 220 cases）, occupying 93.63 % of total cases. [ Conclusion] The epidemic trend of HFMD is upward annually, and there are significant differences of HFMD incidence between seasons and groups. It is necessary to strengthen surveillance, health education and promotion in epidemic season, to carry out patriotic health activities , and take comprehensive measures to control the epidemic.