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2009—2015年湖北省手足口病流行特征分析 被引量:15

Epidemiological characteristics of hand-foot-mouth disease in Hubei Province (2009—2015)
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摘要 目的 了解湖北省手足口病流行病学特征和暴发疫情的特点。方法 通过收集《传染病报告信息管理系统》和《突发公共卫生事件报告管理系统》的手足口病相关数据进行描述性分析和季节性研究。结果 2009—2015年湖北省累计报告手足口病496 096例,报告发病具有分布广泛和明显的季节性特征,每年的3月份发病数开始升高,4-7月达到第1个发病高峰期,其中5月和4月的季节指数最大,分别为233.67%和201.88%,为发病旺季,10-12月为次高峰;报告病例性别比为1.69∶1,主要集中在5岁及以下儿童。襄阳市、黄石市、神农架林区和武汉市是重点防控区域。暴发疫情集中在手足口病的发病高峰期,4月份报告起数最多,主要分布在幼儿园和社区。结论 5岁以下儿童仍为手足口病防控的重点人群,托幼机构为暴发疫情防控的重点场所,尤其是在第一发病高峰期(特别是4月)需加强对重点人群和重点场所的防控工作,降低手足口病的发病率和危害性。 Objective To understand the epidemiological characteristics and the outbreak of hand foot mouth disease (HFMD) in Hubei Province. Methods Descriptive epidemiological analysis and seasonal index were conducted on the basis of the HFMD data collected from the 〈 National Disease Reporting Information System 〉 and the 〈 Public Health Emergency Report Management System 〉 Results A total of 496096 cases of HFMD were reported in Hubei Province from 2009 to 2015. The cases had a wide distribution and obvious seasonal characteristics. The reported incidence began to rise in March every year, and reached the first peak from April to July, and from October to December reached the second peak. Male patients were more than female patients, the sex ratio was 1.69. The patients mainly were under 5 years old children and scattered children. Xiangyang, HuangShi, Shennongjia, and Wuhan were the key control areas. The outbreak mainly occurred in the peak period, mostly in April, especially in kindergarten and community. Conclusions The children under 5 years old were still the focus group of HFMD control, while the nursery and kindergarten were the priority places for outbreak control, especially, in the first peak period (.April),the control for priority population and places should be further strengthened to reduce the morbidity and harm of HFMD.
出处 《公共卫生与预防医学》 2016年第6期28-31,共4页 Journal of Public Health and Preventive Medicine
基金 湖北省卫生计生委疾控专项(WJ2016JT-002)
关键词 手足口病 流行特征 季节指数 Hand foot and mouth disease Epidemic characteristic Seasonal index
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