2009-2012年邯郸市手足口病流行病学特征分析

The epidemiological characteristics analysis of hand-foot-mouth disease in Handan city from 2009 to 2012

目的对2009—2012年邯郸市手足口病（HFMD）流行特征进行分析，为制定有效的预防控制措施提供科学依据。方法收集2009—2012年中国疾病预防控制信息系统中报告的邯郸市手足口病病例资料进行描述流行病学分析。结果2009—2012年邯郸市共报告手足口病病例42657例，发病率为117．37／10万；重症594例，死亡13例；4～7月份为发病高峰；职业分布以散居儿童为主（90．87％）；年龄主要分布在0～5岁儿童（96．68％）；男性26957例、女性15700例，男女比例为1．72：1，男性发病率高于女性，性别间差异有统计学意义（x2=2610．03，P〈0．001）。全市共报告实验室确诊病例3340例，其中EV71感染病例最多（84．43％）。结论预防手足口病应采取综合性的预防控制措施，加强疫情和病原学监测，加强健康教育，做好5岁及以下儿童手足口病防控工作是防控重点。

Objective To analyze the epidemiological characteristics of hand- foot- mouth disease （HFMD） in Handan city from 2009 to 2012, and to provide scientific basis for formulating effective prevention and control measures. Methods The cases data of hand - foot - mouth disease in Handan city from 2009 to 2012 were col- lected from China disease prevention and control information system for descriptive epidemiology analysis. Re- suits 42657 HFMD cases were reported in Handan city from 2009 to 2012. The incidence of HFMD was 117.37/100000. There were 594 severe local cases reported, and 13 patients died. April to July was the peak period. Most of these cases were scattered children （90. 87% ）, and aging from 0 to 5 years old （96~ 68% ） ~ There were 26957 male cases and 15700 female cases. The ratio of male to female patients was 1.72： 1. The incidence of males was higher than the females. The gender difference had statistical significance （X2 = 2610.03, P 〈 0. 001 ） . 3340 cases of laboratory confirmed cases were reported, of which the EVT1 infection cases were most （84.43%） . Conclusions Comprehensive prevention and control measures should be taken to prevent the disease. The focus of the disease prevention and control work was to strengthen the epidemic sit- uation and etiology monitoring, strengthen health education, and intensified prevention and control of HFMD epidemic is needed in the scattered children younger than 5 years of age.