2008-2015年北京市通州区郎府地区手足口病流行病学特征

Epidemiological characteristics of hand-foot-mouth disease of Langfu area in Tongzhou district,Beijing,2008- 2015

目的 对北京市通州区郎府地区2008-2015年手足口病发病和流行病学特征进行调查分析,为制定防控措施提供科学依据。方法 采用描述性流行病学方法,对2008-2015年法定传染病监测系统中报告的通州区郎府地区手足口病发病情况和流行病学特征进行统计分析。结果 郎府地区2008-2015年共报告手足口病例216例,年均发病率为121.78/10万。2011年发病率最低,为32.35/10万;2012年发病率最高,为307.94/10万,无重症病例和死亡病例,聚集性疫情1起。病例性别分布以男性为主,男女性别比为1.67∶1;年龄主要集中于1~5岁年龄组（占81.94%）;职业以散居儿童和幼托儿童为主（占93.98%）;病例季节分布在5-7月为高峰期（占80.09%）;21个自然村除何各庄村外均有病例出现;王庄村发病例数最多,占总发病例数的9.71%。结论 郎府地区手足口病发病水平较高,有明显的季节性和地区差异。1~5岁儿童是防控工作的重点,应采取有效的综合防控措施加强高发季节、重点地区及重点人群的防控工作。

Objective To analyze the incidences and epidemic characteristics of hand-foot-mouth disease（HFMD） in Langfu area, in Tongzhou district of Beijing,from 2008 to 2015, and to provide scientific evidence for the prevention and control measures. Methods Using descriptive epidemiological methods,the epidemic characteristics of HFMD cases in Langfu area from 2008 to 2015 were analyzed using the data collected from China information system for diseases control and prevention. Results A total of 216 cases of HFMD were reported in Langfu area from 2008 to 2015, and the average annual incidence rate was 121.78/105. The lowest incidence rate was 32.35/10^5 in 2011, and the highest incidence was 307.94/105 in 2012. There were no severe cases and deaths. One cluster of cases was reported. The sex ratio was 1.67：1 （ male： female） ; the cases agedfroml to 5 years-old accounted for 81.94% ; scattered children and children in ehildcare facilities accounted for 93.98% ; cases from May to July accounted for 80.09% ; cases were from 21 natural villages except Hegezhuang village; Wangzhuang was the village with most cases, which accounted for 9.71% of the total. Conclusion The incidence of HFMD was higher in the area of Langfu. The distribution of HFMD cases follows a seasonal and regional pattern. The children aged from 1 to 5 years-old are most susceptible. Effective and comprehensive prevention and control measures should be taken to susceptible population during the peak season in hotspotareas.