热带病与寄生虫学

热带病与寄生虫学 ›› 2013, Vol. 11 ›› Issue (2): 96-98,104.doi: 10.3969/j.issn.1672-2302.2013.02.011

• 论著 • 上一篇    下一篇

2010～2012年河北廊坊市手足口病疫情

王静    孙丽娜    顾焕颖   

  1. 廊坊市疾病预防控制中心
  • 收稿日期:2013-02-28 出版日期:2013-02-25 发布日期:2013-06-08

Epidemic situation of hand-foot-mouth disease in Langfang City, Hebei Privince from 2010 to 2012

Wang Jing, Sun Li′na, Gu Huanying   

  1. Langfang Municipal Center for Disease Control and Prevention, Langfang 065000, China.
  • Received:2013-02-28 Online:2013-02-25 Published:2013-06-08

摘要： 目的 为了解廊坊市2010～2012年手足口病疫情特点，分析流行因素及流行病学规律，为防控措施提供依据。 方法 用描述流行病学方法对廊坊市2010～-2012年手足口病疫情资料进行分析。 结果 2010～2012年累计报告手足口病16 306例，其中临床诊断病例15 445例，实验室诊断病例861例，重症445例，死亡8例。年均发病率为129.22/10万，2010～2012年发病率分别为188.74/10万、81.79/10万、117.14/10万。发病数性别比为1.56 ∶ 1，发病年龄以5岁以下儿童为主，占病例总数的88.90%。散居儿童和托幼机构内儿童分别占75.07%和20.22%。发病时间以4～8月为高峰，占病例总数的85.73%。实验室诊断病例中，病原为EV71型占48.66%，Cox A16型占32.29%。 结论 2010～2012年廊坊市手足口病分布有明显的地区、季节、人群集中特征，同时存在EV71和Cox A16感染，在监测和防控工作中应根据其流行特点，制订科学规范的防控预案。

关键词: 手足口病, 流行病学, 疫情分析

Abstract:

Objective To understand the epidemic characteristics of hand-foot- mouth disease, and analysis endemic factors and epidemic rules to provide evidences for prevention and control.. Methods Descriptive epidemiologic method was adopted to analysis the data of hand-foot-mouth disease in Langfang City from 2010 to 2012. Results A total of 16306 cases of hand-foot-mouth disease were reported from 2010 to 2012, including 15445 clinically diagnosed cases, 861 laboratory confirmed cases. For all the cases, 445 were serious and 8 were dead. The annual average morbidity was 129.22/100000, the incidence rate was 188.74/100000,81.79/100000 and 117.14/100000 from 2010 to 2012, respectively. The ratio of male to female was 1.56 ∶ 1. 88.90% of the cases were under 5 years old. Scattered children and kindergarten children accounted for 75.07% and 20.22%. The peak time of onset was from April to August, which accounted for 85.73% of the total cases. For the laboratory confirmed cases, EV71 type accounted for 48.66%, and CoxA16 type accounted for 32.29%. Conclusion It was found that hand-foot-mouth disease in Langfang from 2010 to 2012 presented obvious focus features in region, season and population, and coexisted the infection of EV71 and CoxA16, so scientific and standardized plans should be made according to endemic characteristics in monitoring and prevention control.

Key words: Hand-foot-mouth disease, Epidemiology, Epidemic situation analysis