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目的分析2008—2010年灵山县手足口病流行特征。方法收集《中国疾病监测信息报告管理系统》报告的2008—2010年灵山县手足口病病例资料,采用描述性流行病学方法进行分析。结果 2008年5月至2010年12月灵山县共报告手足口病病例794例,年均发病率为17.50/10万,其中2010年报告病例数最多(532例),发病率最高(34.00/10万),发病率呈逐年上升趋势(P<0.01)。报告病例数在4—7月和9—10月呈现2个高峰期(前者为全年高峰期);3岁及以下儿童642例,占报告病例总数的80.86%;男性515例,女性279例,男女发病例数比为1.8∶1;病例以散居儿童为主,共报告657例,占82.75%。2010年采集病例肛试子标本26份,检出阳性21份,阳性率为80.77%,其中EV71阳性9份、其他肠道病毒阳性7份和CoxA16阳性5份。结论灵山县手足口病发病率呈逐年上升趋势,做好3岁及以下散居儿童手足口病防控工作是当前手足口病防控工作的重中之重。
Objective To analyze the epidemiological characteristics of hand-foot-mouth disease in Lingshan County from 2008 to 2010. Methods The data of cases of HFMD in Lingshan County from 2008 to 2010 reported by China Disease Surveillance Information Report Management System were collected and analyzed by descriptive epidemiological method. Results A total of 794 cases of hand, foot and mouth disease were reported in Lingshan County from May 2008 to December 2010, with an average annual incidence of 17.50 / 100,000. Among them, the highest reported cases were in 2010 (532 cases) and the highest incidence was 34.00 / 10 Million), the incidence showed an upward trend year by year (P <0.01). The number of reported cases showed two peaks in April-July and September-October (the former was annual peak); 642 children aged 3 years and under accounted for 80.86% of the total reported cases; 515 males and 279 females , Male and female incidence ratio was 1.8: 1; the majority of cases were scattered children, a total of 657 cases were reported, accounting for 82.75%. In 2010, 26 samples of anal samples were collected, of which 21 were positive, the positive rate was 80.77%, of which 9 were EV71 positive, 7 were positive by other enterovirus and 5 were CoxA16 positive. Conclusion The incidence of hand, foot and mouth disease in Lingshan County is increasing year by year. It is the most important task to prevent and control hand-foot-mouth disease in children 3 years old and below.