2008～2015大同市手足口病流行趋势及时空分布

Epidemiological trends and spatiotemporal distribution characteristics of hand,foot and mouth disease,Datong city,2008-2015

目的了解大同市2008~2015年手足口病流行趋势及时空分布特征,为当地防治手足口病提供科学依据。方法用Excel、Access、SPSS、ArcMap等软件对大同市手足口病个案报告信息从发病时间、空间、年龄、性别、职业等进行统计分析描述。结果 2008~2015年,大同市共报告手足口病患者16 710例,年均发病率为64.17/10万,整体呈下降趋势(P>0.05)。男女年均发病率分别为74.10/10万和51.43/10万(P<0.01)。5岁以下儿童约占总发病数的90.52%。高发季节为夏秋季,5~7月病人最多,占全部病例数的64.21%。年均发病率居前5位的县区为:大同县92.92/10万、城区83.49/10万、南郊区82.17/10万、灵丘县67.52/10万、矿区63.50/10万。结论大同市手足口病的报告病例在人群、季节性、地理空间等方面存在明显的分布差异。

Objective To understand the epidemiological trends and spatiotemporal distribution characteristics of hand, foot and mouth disease （HFMD） in Datong city, 2008-2015, so as to provide scientific basis for its prevention and control. Methods Excel,Access,SPSS and ArcMap software were used to analyze the incidence data of HFMD on onset time, space-time,age,gender and occupation in Datong city. Results A total of 16 710 cases of HFMD were reported in Datong city,2008-2015 ,with a decline trend as a whole（ P 〉0.05）. The annual incidence was 64.17 cases/10s ,the annual incidence was 74.10 cases/10^5 in males and 51.43 cases/10^5 in females（ P 〈0.01）. Most cases were children under 5 years old,accounting for 90. 52%. The peaks were in summer and autumn, most cases were during May-July, accounting for 64. 21% of the total. The top five countries of incidence were respectively Datong county（92.92/10^5）, the urban area（ 83.49/10^5） ,Nanjiao district （82.17/10^5） ,Lingqiu county（67.52/10^5） and the mining area （63.50/10^5）. Conclusion There are significant differences in demographical,seasonal and spatiotemporal distribution.