2012年菏泽市手足口病疫情分析

摘要

Objective:To know epidemic characteristics of hand-foot-and-mouth ( HFMD) in Heze city in 2012 and provide a scientific basis for making intervention measures. Methods:Descriptive epidemiological analysis was employed on all the cases of HFMD collected from the regular report system of infectious diseases. Results:A total of 3595 cases of HFMD were reported in Heze City in 2012, including 21 severe cases. The incidence of HFMD was 43. 22/100000 for all, with 59. 11/100000 for men and 27. 12/100000 for women. The incidence of men was higher than that of women (P=0. 00). The incidence rate from April to July accounted for 61. 70% of the total, the children under the age of five (3510 cases) accounted for 97. 64% and the scattered children (3500 ca-ses) accounted for 97. 64%. The cases with positive EV71 accounted for 26. 90%, and those with positive CoxA16 (76 cases) ac-counted for 44. 44%, The other enterovirus (49 cases) accounted for 28. 65%. Conclusions:The incidence of HFMD is high in Heze city, 2012. It is necessary to strengthen the surveillance of the prevalence of the disease, especially the scattered children.%目的：了解菏泽市手足口病的流行特征，为制定手足口病防治措施提供依据。方法：从国家疾病报告管理信息系统中将2012年菏泽市手足口病网络直报信息导出，运用描述性统计学方法进行分析。结果：2012年菏泽市共报告手足口病3595例，发病率为43.22/10万，其中重症病例21例；发病率男性为59.11/10万，女性为27.12/10万，男性高于女性(P=0.00)；发病集中在4~7月(占61.70%)；5岁及以下儿童为主(3510例，占97.64%)；发病以散居儿童为主(3500例，占97.36%)；实验室检测EV71阳性46例(26.90%)、CoxA16阳性76例(44.44%)、其他肠道病毒49例(28.65%)。结论：菏泽市发病率较高，应加强疫情监测，防控工作的重点为散居儿童。