摘要
目的回顾性分析2018—2024年济宁市手足口病(hand,foot and mouth disease,HFMD)流行特征和时空聚集性,为HFMD的防控提供科学依据。方法从中国疾病预防控制信息系统传染病监测模块获取2018—2024年济宁市HFMD数据资料,进行统计分析、空间自相关分析和时空扫描分析。结果济宁市2018—2024年累计报告HFMD 27313例,年均报告发病率为46.36/10万。2018—2019年、2023—2024年在夏季高发,2020—2022年在冬季高发。男、女性报告发病率分别为57.84/10万、35.16/10万,0~5岁发病构成比下降、5~10岁发病构成比上升,散居儿童和幼托儿童是主要发病职业人群。空间自相关分析发现,2018—2024年济宁市各乡镇(街道)HFMD分布均存在空间聚集性,高发地区主要集中在济宁市的东北、西南和中部地区,并由周边向中部集中趋势。时空扫描共发现1个主要聚集区和3个次要聚集区,5~8月是高发季节。结论2018—2024年济宁市HFMD报告发病率总体呈现先下降后上升趋势,流行趋势有所减弱,具有明显的季节性和空间聚集性,东北、西南和中部地区为高发地区,男性高于女性、发病年龄出现后移现象,建议对HFMD的高发人群和高发地区予以重点关注。
Objective To retrospectively analyze the epidemiological characteristics and spatiotemporal clustering of hand,foot and mouth disease(HFMD)in Jining from 2018 to 2024,and provide a scientific basis for the prevention and control of HFMD.Methods The HFMD data of Jining from 2018 to 2024 were obtained from the infectious disease monitoring module of the Chinese Center for Disease Control and Prevention Information System.Statistical analysis,spatial autocorrelation analysis,and spatiotemporal scanning analysis were conducted.Results From 2018 to 2024,a total of 27313 cases of HFMD were reported in Jining,with an average annual reported incidence rate of 46.36/100000.High incidence was observed in summer during 2018—2019 and 2023—2024,while high incidence occurred in winter from 2020—2022.The reported incidence rates of men and women were 57.84 per 100000 and 35.16 per 100000,respectively.The incidence rate of 0-5 years old decreased and that of 5-10 years old increased.Diaspora children and kindergarten children were the main occupational groups.The spatial autocorrelation analysis found that there was spatial clustering in the distribution of HFMD in various townships(streets)of Jining from 2018 to2024.The high incidence areas were mainly concentrated in the northeast,southwest,and central regions of Jining,and showed a trend to concentrate from the periphery to the central region.A spatiotemporal scan revealed one main cluster area and three secondary clusters,with May to August being the peak season.Conclusion From 2018 to 2024,the incidence rate of HFMD reported in Jining showed an overall trend of initial decline followed by a rebound,a weakened epidemic intensity and with obvious seasonal and spatial clustering.The northeast,southwest and central regions were high incidence areas,men were higher than women,and the age of onset appeared later.It is recommended that the high incidence population and high incidence areas of HFMD should be given special attention.
作者
童彦菊
于颖慧
孙喜红
姜文国
刘伟
梁玉民
王燕
TONG Yan-ju;YU Ying-hui;SUN Xi-hong;JIANG Wen-guo;LIU Wei;LIANG Yu-min;WANG Yan(Jining Center for Disease Control and Prevention,Jining,Shandong 272000,China)
出处
《医药论坛杂志》
2026年第6期611-616,共6页
Journal of Medical Forum
基金
山东省医务职工科技创新计划联合立项项目(SDYWZGKCJHLH202468)。
关键词
手足口病
流行特征
时空聚集性
Hand,foot and mouth disease
Epidemiological characteristics
Spatiotemporal aggregation
