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目的分析金水区手足口病的流行病学特征,提出预防和控制措施。方法采用描述流行病学的方法,对2009年手足口病病例资料进行流行病学分析。结果全年共报告手足口病3 553例,其中重症122例,死亡1例。高发年龄主要为5岁以下幼儿,共报告3 392例,占病例总数的95.46%;职业分布以散居儿童和幼托儿童为主,分别占病例总数的57.67%和39.77%。男女性别比为1.53∶1。疫情从3月份开始迅速上升,4-5月份达发病高峰;病例集中发生在城乡结合部的散居儿童和幼托机构中。在122例重症病例中,EV71阳性60例,占重症病例的49.18%。结论金水区手足口病有明显的季节性,病例主要发生在学龄以下儿童,防控工作重点应该放在城乡结合部的散居儿童和托幼机构的人群中。
Objective To analyze the epidemiological characteristics of hand-foot-mouth disease in Jinshui District and put forward the preventive and control measures. Methods Descriptive epidemiological methods were used to analyze the epidemiological data of 2009 cases of HFMD. Results A total of 3 553 HFMD cases were reported in the year, of which 122 were severe and 1 died. A total of 3 392 cases were reported, accounting for 95.46% of the total cases. The distribution of occupations was mainly for scattered children and preschool children, accounting for 57.67% and 39.77% of the total number of cases respectively. The male-female ratio is 1.53: 1. The outbreak began to rise rapidly from March and peaked in April-May. The cases concentrated in scattered children and kindergartens in urban-rural areas. In 122 cases of severe cases, EV71 positive in 60 cases, accounting for 49.18% of severe cases. Conclusions Hand-foot-mouth disease in Jinshui District is obviously seasonal. The cases mainly occur in children under school age. The focus of prevention and control should be placed on the population of diaspora and nursery schools in the urban-rural junction.