2011-2014年沭阳县手足口病疫情流行病学分析

摘要

Objective To analyze the epidemiological characteristics of epidemic disease in Shuyang county from 2011 to 2014 HFMD, and to explore the prevention and control strategy. Methods To analyze 2011~2014 Shuyang hand foot and mouth disease epidemic data and test data. Results In Shuyang county from 2011 to 2014 a total of 2124 HFMD cases were reported, the average incidence rate was 33.76/10 million.The onset time mainly concentrated in 3~7 months, accounted for 71.14%(1511/2124). The distribution of cases of age is 0~5 years old, a total of 2072 cases, the total number of cases to 97.55%,occupation distribution of scattered children. A total of 2043 cases, accounting for 96.19%, followed by preschool children in 45 cases, accounting for 2.12%. 224 stool specimens were collected, 134 samples were positive, positive rate was 59.78%, the EV71 virus was detected in 60 samples, accounting for 38.18%, CoxA16 virus nucleic acid was detected in 39 samples, accounting for 29.09%.Conclusions Shuyang County of hand foot and mouth disease epidemic season, age, population characteristics, in the relevant prevention and control measures of disease, should be based on the epidemic characteristics of high risk, and high season to focus on, to develop prevention programs.%目的：分析沭阳县2011-2014年手足口病疫情流行病学特征，并探讨预防控制策略。方法对2011-2014年沭阳手足口病疫情资料及检测资料进行分析。结果沭阳县2011-2014年累计报告手足口病2124例，年均发病率为33.76/10万。发病时间主要集中在3~7月，占病例总数的71.14%(1511/2124)。病例分布的年龄段主要为0~5岁，共报告2072例，占总病例数的97.55%，职业分布中散居儿童为主共2043例，构成比为96.19%，其次为幼托儿童45例，构成比为2.12%。采集粪便标本224份，阳性134份，阳性率为59.78%，其中EV71病毒阳性60份，占38.18%，CoxA16病毒核酸阳性39份，占29.09%。结论沭阳县手足口病的流行有明显的年龄、季节、人群特征，在进行疾病的相关防控措施中，应当根据疫情的流行特征，对高发人群及高发季节重点关注，制定针对性的防控方案。