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目的掌握辽宁省辽中县手足口病发病强度和流行特征,为制定防控措施提供准确依据。方法采用描述流行病学方法分析该县手足口病疫情资料。结果 2009—2012年手足口病年均报告发病率为69.79/10万,各年度报告发病率差异有统计学意义(P<0.01);男性为85.71/10万,女性为53.36/10万(P<0.01),男女性别比为1.66∶1;EV71病毒感染占63.63%;散居儿童、幼托儿童报告手足口病报告发病数分别占全部报告发病数的61.80%和33.02%;0~5岁年龄组报告发病数占发病总数的88.35%;7、8月报告发病数占全年报告发病数的73.88%。结论辽宁省辽中县2009—2012年手足口病呈典型的夏季发病高峰;以散居儿童、幼托儿童发病为主,职业高峰明显;男性发病水平高于女性,呈典型的婴幼儿高发。加强手足口病疫情报告和预检分诊,有效控制医院内感染;做好卫生宣传和健康教育工作,提高人民群众防治知识水平;加强托幼机构晨检和消毒隔离工作,做好手足口病现场应急处理工作,有效防止疫情蔓延。
Objective To grasp the intensity and epidemic characteristics of HFMD in Liaoning Province and provide an accurate basis for the development of prevention and control measures. Methods Epidemiological methods were used to analyze the epidemic situation of hand, foot and mouth disease in this county. Results The annual incidence of hand-foot-mouth disease was 69.79 / lakh from 2009 to 2012. The incidence of HFMD in each year was statistically significant (P <0.01). The prevalence of HFMD was 85.71 / lakh for males and 53.36 / lakh for females <0.01). The sex ratio of male to female was 1.66:1. The infection rate of EV71 was 63.63%. The incidence of hand-foot-mouth disease in scattered children and preschool children accounted for 61.80% and 33.02% of the total reported incidence respectively. The number of reported cases accounted for 88.35% of the total number of cases; the number of reported cases in July and August accounted for 73.88% of the total number of reported cases in the year. Conclusions Hand, foot and mouth disease in Liaoning Province from 2009 to 2012 was the typical peak in summer. The prevalence was highest in scattered children and child care children, and the peak was higher in males than in females. Strengthen the hand foot and mouth disease epidemic report and pre-screening clinics, and effectively control the hospital infection; do a good job in health promotion and health education to improve the people’s knowledge of prevention and control; strengthen nursery inspection and disinfection of the morning screening work to do hand-foot-mouth disease On-site emergency response work to effectively prevent the spread of the epidemic.