摘要
目的分析2012-2017年安顺市手足口病的流行病学特征,为手足口病的防控提供科学依据。方法采用描述性流行病学方法对"中国疾病预防控制信息系统"中2012-2017年安顺市报告的手足口病疫情资料和人口数据,以及手足口病病原学资料进行分析。结果2012-2017年安顺市手足口病年均报告发病率57.06/10万,3~6月为发病高峰(占60.13%),非民族自治县发病率高于民族自治县(χ^2=913.77,P<0.01),男性发病率高于女性(χ^2=329.32,P<0.01),差异均有统计学意义。5~岁以下发病居多(占96.01%);以散居儿童(占77.28%)、幼托儿童(占20.08%)发病为主;实验室检测阳性率48.46%,以EV未分型最多(占49.92%),Cox A16、EV 71分别占28.80%、14.85%;手足口病突发公共卫生事件发生11起报告病例45例,重症5起死亡3起,罹患率0.76%,托幼机构罹患率高于家庭(χ^2=207.47,P<0.01),差异有统计学意义。结论应加强重点地区、重点场所、重点人群、重点时点的防控,进一步降低安顺市手足口病发病率、死亡率。
Objective To analyze the epidemiological characteristics of hand-foot-mouth disease(HFMD)in Anshun City from 2012 to 2017,and to provide scientific evidence for the prevention and control of HFMD disease.Methods The descriptive epidemiological method was used to analyz HFMD disease epidemic data and population data reported in Anshun City in the"China Disease Prevention and Control Information System"from 2012 to 2017,as well as the pathogenic data of HFMD.Results The annual average reported incidence of HFMD in Anshun City from 2012 to 2017 was 57.06/100000.The peak incidence was from March to June(60.13%).The incidence rate in non-ethnic autonomous counties was higher than that in ethnic autonomous counties,with significant difference(χ^2=913.77,P<0.01).The incidence rate of males was higher than that of females,with significant difference(χ^2=329.32,P<0.01).The incidence of under 5 years old was mostly(96.01%).The majority of the patients were children living in scattered communities(77.28%)and children in nursery care(20.08%).The positive rate of laboratory test was 48.46%.Most of them were EV unclassified types(49.92%).Cox A16 and EV 71 accounted for 28.80%and 14.85%respectively.There were 11 public health emergencies of HFMD disease,45 cases were reported.There were 5 cases of severe illness and 3 cases of death.The incidence rate was 0.76%.Besides,the prevalence rate of child care institutions was higher than that of the family(χ^2=207.47,P<0.01).Conclusion The prevention and control of HFMD in key areas,key places,key populations and key time points should be strengthened to further reduce the incidence and mortality of HFMD in Anshun City.
作者
陆建雄
蒋有琴
孙正勇
徐林
杨敏
LU Jiangxiong;JIANG Youqin;SUN Zhengyong;XU Lin;YANG Min(Anshun Center for Disease Control and Prevention,Guizhou 561000,China)
出处
《医学动物防制》
2019年第11期1021-1024,1028,共5页
Journal of Medical Pest Control
基金
贵州省2017年度重大公共卫生项目中央补助资金疾病预防控制项目(黔卫计办发[2017]72号)
关键词
手足口病
流行病学
分析
Hand-foot-mouth disease
Epidemiology
Analysis
