襄阳市2009—2013年手足口病流行特征分析

Analysis on the Epidemiology Characteristics of Hand, Foot and Mouth Disease in Xiangyang from, 2009 to 2013

目的 分析襄阳市2009—2013年手足口病（Hand-foot-mouth Disease,HFMD）流行病学特征和主要危险因素,为手足口病的防控提供科学依据。方法 采用描述性流行病学方法,对襄阳市2009—2013年手足口病病例资料进行统计分析。结果襄阳市2009—2013年共报告手足口病53 485例,年均发病率为194.07/10万,其中重症病例207例（0.39%）,死亡32例（0.06%）。4~7月份为发病高峰,在冬季出现小高峰。男女性别比为1.66∶1,年龄以0~5岁为主,散居儿童占77.78%。死亡病例均为3岁以下儿童,重症及死亡病例病原学检测均以肠道病毒71型（EV 71）为主,分别占81.64%和96.88%。结论 襄阳市手足口病流行形势较为严峻,重症及死亡病例时有发生,应重点关注4~7月份疫情,防控重点对象为3岁以下散居儿童及肠道病毒71型（EV 71）阳性感染者。

OBJECTIVE To analyze the epidemiological characteristics and the main risk factors of hand,foot and mouth diseaesHFMD in Xiangyang City from 2009 to 2013, provide a scientific basis for the prevention and control of HFMD. METHODS De-scriptive epidemiology was used to do statistical analysis for the HFMD data in Xiangyang from 2009 to 2013.RESULTS 53 485 HFMD cases were reported in Xiangyan from 2009 to 2013,the average annual incidence rate was 194.07/100000,with 207 severecases（0.39%）,32 death cases（0.06%）.From the April to July the disease had a high incidence,and it had a small peak in the win-ter.The male and female ratio was 1.66： 1,almost between 0~5 ages,and 77.78 percent were Scattered children.The death casesare all below 3 ages, EV71 was the main etiology,and so is the severe cases,respectively sccounting for 81.64% and 96.88%.CONCLUSION The situation of HFMD epidemic in Xiangyang was more serious, the severe and death cases occur, it should pay atten-tion to epidemic in April to July,and put the focus on the scattered children under 3 years old and enterovirus 71（EV71） positivecases.