2009—2013年云南省弥勒市手足口病流行病学分析

Epidemiological analysis on hand-foot-mouth disease in Mile City of Yunnan Province from 2009-2013

目的探讨云南省弥勒市手足口病流行趋势,掌握流行规律,为制定预防策略和措施提供科学依据。方法对2009—2013年该市手足口病疫情资料进行统计分析。结果2009—2013年弥勒市共报告手足口病3 292例,发病率分别为7.70/10万、68.65/10万、190.84/10万、165.60/10万和190.92/10万,5年平均发病率为125.27/10万。5年发生重症病例87例,无死亡病例;发病时间存在夏季高峰和秋冬季次高峰现象,每年4—8月为发病人数较多月份,占全年病例数的65.67%;3岁以下的散居儿童是主要发病人群,占发病总数78.13%。结论弥勒市手足口病疫情形势依然严峻,发病存在高发人群和高发季节等特点,应通过以健康教育和健康促进为主的综合干预措施,进一步控制手足口病的流行传播。

[Objective]To explore the epidemic trend of hand-foot-mouth disease（ HFMD） in Mile City of Yunnan Province, realize the epidemic law, and provide the scientific basis for making preventive strategies and measures. [Methods]The epidemic data of HFMD in Mile City from 2009-2013 were statistically analyzed.[Results]A total of 3 292 HFMD cases were reported in Mile City from 2009-2013, and the annual incidence rate was respectively 7.70/lakh, 68.65/lakh, 190.84/lakh, 165.60/lakh and 190.92/10,with the average incidence rate of 125.27/lakh. There were 87 severe cases in five years, without death case. The peak season appeared in summer, and the second peak occurred during autumn and winter. Most of cases were reported April to August,accounting for 65.67% of total cases in whole year. Scattered children below 3 years old were the high risk population, which the cases accounted for 78.13% of total cases.[Conclusion]The epidemic situation of HFMD is still severe in Mile City, which shows the features of high risk population and peak seasons. It is necessary to take the comprehensive intervention measures based on health education and health promotion to control the epidemic situation and spread of HFMD.