百色市2014年手足口病流行病学特征分析

Analysis of the epidemiological characteristics of hand-food-mouth disease in 2014 in Baise City

目的：分析百色市2014年手足口病流行特征，探讨该病的预防控制策略。方法采用描述流行病学方法对百色市2014年手足口病发病特征进行流行病学分析。结果2014年百色市共报告手足口病44520例，年发病率为1258．05／10万，死亡17例，病死率为0．04％。病例报告有明显的季节性，4－6月为发病高峰；以0～5岁年龄组为主，占95．39％；男性发病率高于女性，男女发病比为1．44∶1；职业分布以散居儿童居多；病原学监测结果为EV71、CoxA16和其他肠道病毒混合感染；79．04％的重症病例（含死亡病例）由EV71感染所致。结论百色市手足口病流行情况严重，EV71仍是引起手足口病重症病例和死亡的主要病原体，今后仍需要采取综合性防治措施，开展健康教育，加强重症病人的筛查和救治，降低病死率。

Objective To analyze the epidemiological features of hand-foot-mouth disease （ HFMD） in 2014 in Baise City and to explore the preventive strategies.Methods The description method was used to analyze the characteristics of HFMD occurence in 2014 in Baise.Results A total of 44 520 cases of HFMD were reported in 2014 in Baise City and the annual incidence was 1 258.05/100 000.17 patients died and the fatality rate was 0.04%.The reported cases had a ap-parent seasonal feature, the season peak appeared from Apr to July.Most of patients were the children below five years age （95.39%）.Male patients were more than female ones with the sex ratio of 1.44 ∶1.The most cases concentrated in scat-tered children.The etiology monitoring results showed that a mixed infection of HFMD atributed to EV71, CoxA16 and oth-er intestinal virus, 79.04%severe cases（including the died cases） were infected with EV71.Conclusions At present, the prevalence of HMFD is serious in Baise City.EV71 was still the major pathogen in HFMD severe and died cases.The control of HFMD in the future should be performed on continuous and comprehensive prevention and control measures, health education, to make a accurate diagnosis and curing of the serious cases so as to reduce the fatality rate.