2009-2012年攀枝花市手足口病流行特征分析

Epidemiologic Characteristics of Hand-foot-mouth Disease in Panzhihua City,2009-2012

目的了解四川省攀枝花市手足口病的流行特征，为制定防治措施提供依据。方法采用描述性研究方法，利用攀枝花市法定传染病报告系统和暴发疫情流行病学调查的资料进行回顾性的分析。结果2009—2012年全市共报告手足口病病例2957例，重症13例，死亡3人，年平均发病率为64．13／10万。每月均有发病，发病高峰为5—7月，城市发病率高于农村，发病人群以散居儿童和幼托儿童为主，集中于5岁以下儿童，男、女发病率性别比为1．36：1。结论攀枝花市手足口病的发病有明显的季节性，存在年龄、性别差异，今后的防控重点应放在5岁以下年龄组，尤其要加强对托幼机构手足口病的防控工作。

Objective To study the epidemiological characteristics of hand - foot - mouth disease （HFMD） in Panzhihua city, Sichuan province, and thus to province references for preventive and control measures. Methods Descriptive analysis was conducted retrospectively on the data of mumps reported through national disease reporting information system and data of outbreaks in Panzhihua. Results Totally 2957 cases of HFMD were reported in Panzhihua city from 2009 to 2012, including 13 severe cases and 3 deaths, the average annual incidence rate was 64. 13/105. The cases occurred in each month though the year, and the incidence peak- ed from May to July. Incidence of urban area was higher than that of the rural area. Occupational distribution showed a concentration in scattered children and children in nurseries, most children were under five years old. The incidence rate for male was higher than the female, with a ratio of 1.36： 1. Conclusion The incidences of HFMD differentiates in terms of seasonality, age and gender in Panzhihua city. It is necessary to emphasize the HFMD prevention and control measures in children under five years, especially in those in childcare organizations.