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目的探讨2008—2014年东平县手足口病的流行病学特征与流行趋势,为制定防控策略提供科学依据。方法采用描述性流行病学方法,对2008—2014年《中国疾病预防控制信息系统》中报告的东平县手足口病疫情资料进行统计分析。结果2008—2014年我县手足口总发病数是9 139例,发病率为164.69/10万(9 139/5 549 284)年发病数分别是373、668、1 327、779、2 254、957、2 781例,分别占发病总数的4.08%、7.31%、14.52%、8.52%、24.66%、10.47%、30.43%,发病数整体呈现上升趋势,并隔年出现一次流行高峰,其中5~8月份发病6 632例,占总发病数的72.57%,明显高发;城区及周边区域(东平街道)发病数最多(2 493例),占27.28%;5岁以下儿童较多(8 508例),占发病总数的93.10%,年龄集中在1~3岁(6 516例),占发病总数的71.30%,其中男5 596例,女3 543例,性别比为1.58:1,职业以散居儿童为主(6 221例),占68.07%;其次是幼托儿童(2 488例),占27.22%。结论手足口病传播流行性强,夏季高发,1~3岁儿童最易患病,男性发病高于女性,托幼机构易发生聚集性病例,在流行过程中起关键作用。提高农村群众防护意识,做好传染源隔离,及早落实托幼机构停课关园、加强消毒效果监测等措施对疫情控制效果良好。
Objective To explore the epidemiological characteristics and trends of hand-foot-mouth disease in Dongping County from 2008 to 2014, and provide a scientific basis for making prevention and control strategies. Methods A descriptive epidemiological method was used to analyze the data of hand-foot-mouth disease in Dongping County from 2008 to 2014 in China’s Disease Control and Prevention Information System. Results The total number of hand-foot-mouths in our county from 2008 to 2014 was 9 139, with an incidence rate of 164.69 / 100 000 (9 139/5 549 284). The annual incidence was 373,668, 1 327,779, 2 254 and 957 respectively , And 2 781 cases, accounting for 4.08%, 7.31%, 14.52%, 8.52%, 24.66%, 10.47% and 30.43% respectively of the total number of cases. The overall incidence of the disease showed an upward trend, and the epidemic peak appeared in the following year, of which 5 to August The incidence was 6 632 cases, accounting for 72.57% of the total number of cases. The incidence was high. The number of cases in the urban area and the surrounding area (Dongping Street) was the highest (2 493 cases), accounting for 27.28%. The number of children under 5 years old (8 508 cases) The total incidence was 93.10%. The age ranged from 1 to 3 years old (6 516 cases), accounting for 71.30% of the total, including 5 596 males and 3 543 females, with a sex ratio of 1.58: 1. (6 221 cases), accounting for 68.07%; followed by preschool children (2 488 cases), accounting for 27.22%. Conclusions Hand-foot-mouth disease is endemic. In summer, children aged 1-3 years are the most susceptible to disease. Men are more likely to develop disease than women. Knee-prone institutions are prone to accumulate and play a key role in the epidemic. Improve awareness of rural people’s protection, do a good job of isolation of sources of infection, and early implementation of child care institutions closing class park, strengthen disinfection monitoring and other measures to control the epidemic is good.