2009—2018年资阳市手足口病疫情分析

Analysis on epidemic situation of hand,foot and mouth disease in Ziyang City from 2009 to 2018

目的了解2009—2018年资阳市手足口病的流行规律、变化趋势,为科学制定资阳市手足口病防控策略提供参考依据。方法采用描述流行病学方法对传染病报告信息管理系统中2009—2018年资阳市报告的手足口病疫情资料进行分析,检索条件为“按发病日期”统计。结果2009—2018年资阳市手足口病累计报告15609例,死亡6例,年均报告发病率为60.38/10万,年均病死率为0.38‰;3个县(区)均有手足口病病例报告;全年均有发病,发病高峰呈“双峰”型,主要集中在4—7月和10—12月;男女性别比为1.42∶1;报告病例中散居儿童占79.20%,幼托儿童占18.87%;实验室确诊1291例,病原优势株交替出现。结论资阳市手足口病报告发病呈上升趋势,有相对明显的季节性和人群分布特点,优势病原交替出现,应加强疫情监测,做好高发季节和重点人群的手足口病防控工作,加强健康教育,落实各项综合性防控措施减少手足口病发病。

Objective To analyze the epidemic regularity and change trend of hand,foot and mouth disease(HFMD)in Ziyang City from 2009 to 2018,provide reference for the scientific development of prevention and control strategies for HFMD in Ziyang City.Methods Descriptive epidemiological methods were used to analyze the epidemic data of HFMD in Ziyang City from 2009 to 2018 reported by the infectious disease report information management system,with the search conditions of"by date of onset".Results From 2009 to 2018,there were 15609 cases of HFMD in Ziyang City,and 6 cases died,the average annual reported incidence rate was 60.38/lakh,the annual average annual fatality rate was 0.38‰.Cases of HFMD were reported in all three counties(districts).The cases were reported throughout the year,and it showed"double peak"type in incidence,which mainly concentrated in April to July and October to December.The male to female ratio was 1.42∶1.Among the reported cases,scattered children accounted for 79.20%,and children in nursery school accounted for 18.87%.A total of 1291 cases were diagnosed in the laboratory,and the dominant strains of the pathogens alternated.Conclusion The incidence of HFMD in Ziyang City is on the rise,with relatively obvious seasonal and population distribution characteristics,and the dominant pathogens alternate.It is necessary to strengthen the epidemic situation monitoring,improve the prevention and control HFMD in high-risk seasons and key populations,strengthen health education and implement comprehensive prevention and control measures,to reduce the incidence of HFMD.