2009-2013年北京市房山区手足口病流行特征分析

Epidemiological analysis of hand-foot-mouth disease in Fangshan district of Beijing,2009 to 2013

目的分析北京市房山区手足口病流行情况及病原学特点,为手足口病防控提供科学依据。方法对2009-2013年手足口病的监测数据进行描述性流行病学研究。结果2009-2013年房山区累计报告手足口病9 113例,年均发病率为159.42/10万,重症70例,死亡1例。各月均有手足口病例报告,5-8月为发病高峰,1~5岁年龄组发病占84.09%,散居儿童及托幼儿童占92.31%。除2011、2013年外,房山区手足口病病原谱均以EV71为主。结论房山区手足口病呈周期性变化,重点加强托幼机构及人口密集区域5岁以下儿童,特别是散居儿童的监测及防控工作。

Objective To describe the epidemiological characteristics of hand-foot-mouth disease（HFMD） in Fangshan district of Beijing,and to provide scientific basis for prevention and control.Methods The epidemiological data of HFMD in Fangshan from 2009 to 2013 were collected and analyzed using a descriptive epidemiological method.Results A total of 9 113 HFMD cases,including 70 serious cases and 1 death,were reported during the study period.The average annual incidence was 159.42 per 100,000 population.The incidence of HFMD had obvious seasonality with epidemic peaks observed from May to August.The diseases were mainly reported among children aged 1~5 years old with a proportion 84.09%,and in term of occupation,the proportion of scattered and preschool children was 92.31%.Enterovirus 71（EV71） was the most common pathogen in most years expect 2011 and 2013.Conclusion The prevention and control of HMFD should be strengthened according to its local epidemiological characteristics.