热带病与寄生虫学

热带病与寄生虫学 ›› 2016, Vol. 14 ›› Issue (1): 6-9,19.doi: 10.3969/j.issn.1672-2302.2016.01.003

• 特约专稿 • 上一篇    下一篇

2015年湖南省手足口病流行特征分析

罗垲炜，高立冬，胡世雄，黄威，邓志红，张帆，陈雨，赵善露   

  1. 10006 长沙市，湖南省疾病预防控制中心
  • 出版日期:2016-03-10 发布日期:2016-04-11
  • 基金资助:

    湖南省卫生计生委科研课题（C2015-062）；中华预防医学会科研项目（20101801）

Analysis on epidemic characteristics of hand-foot-mouth disease in Hunan Province in 2015     

Luo Kaiwei, Gao Lidong, Hu Shixiong, Huang Wei, Deng Zhihong, Zhang Fan, Chen Yu, Zhao Shanlu.   

  1. Hunan Provincial Center for Disease Control and Prevention, Changsha 410006, China.
  • Online:2016-03-10 Published:2016-04-11

PDF (PC)

1105

被引次数

20

摘要： 【摘要】 目的  分析2015年湖南省手足口病流行特征，探讨手足口病流行规律，为制订防控策略和控制措施提供科学依据。 方法  收集2015年湖南省疾病监测报告系统报告的手足口病病例资料、病原学监测资料和突发公共卫生事件报告管理系统报告的聚集性疫情资料进行描述性流行病学分析。 结果  2015年湖南省共报告手足口病病例135 628例，其中重症病例710例，死亡14例，发病率为201.32/10万；发病率较高的地区主要为湘中、湘东北和湘西地区；男女性别比为1.56∶1，5岁及以下年龄组病例占发病总数的97.01%；病原学监测阳性率为54.02%，普通病例、重症病例、死亡病例的EV71检出率分别为9.62%、29.48%和88.89%。 结论  湖南省手足口病发病有明显的季节性，高发人群是低龄儿童、散居儿童，不同血清型的毒株交替占主导地位，加强监测和风险评估、有效处置疫情和开展针对重点人群的健康教育是有效控制手足口病的关键。

关键词: 手足口病, 流行特征, 肠道病毒71型

Abstract:

【Abstract】 Objective  To analyze the epidemic characteristics and patterns of the hand foot and mouth disease(HFMD) in Hunan province in 2015 for supplying scientific information to plan preventive and control measures for this disease. Methods  The data on HFMD cases, pathogens and outbreaks in Hunan in 2015 were collected from national diseases information reporting system for descriptive epidemiological analysis. Results  A total of 135,628 cases of HFMD, including 710 severe cases and 14 fatal cases, were reported in Hunan in 2015, the morbidity was 201.32 per 100 000 population. Prevalence was higher in the middle, northeast and west areas of Hunan. The male-to-female ratios of incidence were 1.56:1, and the children younger than 5 years old accounted for 97.01% of the total reported cases. The positive ratio by etiology monitoring was 54.02%, and detected EV71 in mild, severe and fatal cases was 9.62%, 29.48% and 88.89% respectively. Conclusion  HFMD appears in seasonal prevalence in Hunan province, and risk groups are associated with younger children and children living scattered areas. Virus of different serotype may be superseded in the epidemic seasons. Therefore, it is critical to strengthen the surveillance and effective response to the prevalence as well as provide health education for the targeted population in prevention and control of HFMD.

Key words:  Hand foot and mouth disease, Epidemiological characteristics, EV71