2012年菏泽市手足口病疫情分析

Analysis of hand-foot-mouth disease (HFMD) in Heze city in 2012

目的：了解菏泽市手足口病的流行特征，为制定手足口病防治措施提供依据。方法：从国家疾病报告管理信息系统中将2012年菏泽市手足口病网络直报信息导出，运用描述性统计学方法进行分析。结果：2012年菏泽市共报告手足口病3595例，发病率为43.22/10万，其中重症病例21例；发病率男性为59.11/10万，女性为27.12/10万，男性高于女性（P=0.00）；发病集中在4~7月（占61.70%）；5岁及以下儿童为主（3510例，占97.64%）；发病以散居儿童为主（3500例，占97.36%）；实验室检测EV71阳性46例（26.90%）、CoxA16阳性76例（44.44%）、其他肠道病毒49例（28.65%）。结论：菏泽市发病率较高，应加强疫情监测，防控工作的重点为散居儿童。

Objective：To know epidemic characteristics of hand-foot-and-mouth （ HFMD） in Heze city in 2012 and provide a scientific basis for making intervention measures. Methods：Descriptive epidemiological analysis was employed on all the cases of HFMD collected from the regular report system of infectious diseases. Results：A total of 3595 cases of HFMD were reported in Heze City in 2012, including 21 severe cases. The incidence of HFMD was 43. 22/100000 for all, with 59. 11/100000 for men and 27. 12/100000 for women. The incidence of men was higher than that of women （P=0. 00）. The incidence rate from April to July accounted for 61. 70% of the total, the children under the age of five （3510 cases） accounted for 97. 64% and the scattered children （3500 ca-ses） accounted for 97. 64%. The cases with positive EV71 accounted for 26. 90%, and those with positive CoxA16 （76 cases） ac-counted for 44. 44%, The other enterovirus （49 cases） accounted for 28. 65%. Conclusions：The incidence of HFMD is high in Heze city, 2012. It is necessary to strengthen the surveillance of the prevalence of the disease, especially the scattered children.