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目的了解开封市顺河区手足口病(HFMD)疫情动态,为制定有效防控对策提供依据。方法对开封市顺河区2010—2013年HFMD疫情资料进行描述分析。结果 4年共报告HFMD病例1 152例,年均发病率为129.68/10万;其中重症病例35例,死亡1例。无暴发疫情。发病呈双峰分布,最高峰在4—7月、次高峰在9月。农村发病率明显高于城区(P<0.01)。病例集中在5岁及以下儿童,占96.44%;以散居儿童为主,占70.83%;男性高于女性(P<0.01)。病原学监测结果显示EV71阳性率达55.10%,重症病例中EV71阳性比例为76.92%。结论应关注高危地区和高危人群,加强病原学监测,采取针对性的预防控制措施。
Objective To understand the epidemic situation of hand-foot-mouth disease (HFMD) in Shunhe District of Kaifeng and provide a basis for effective prevention and control measures. Methods The epidemiological data of HFMD from 2010 to 2013 in Shunhe District of Kaifeng City were described and analyzed. Results A total of 1 152 HFMD cases were reported in 4 years, with an average annual incidence of 129.68 / 100 000; of which 35 were severe cases and 1 died. No outbreaks. The incidence was bimodal distribution, the highest peak in April-July, the second peak in September. The incidence in rural areas was significantly higher than that in urban areas (P <0.01). The cases were concentrated in children aged 5 years and younger, accounting for 96.44%. The majority were scattered children, accounting for 70.83%. Men were higher than women (P <0.01). The etiological monitoring results showed that the positive rate of EV71 was 55.10%, and the positive rate of EV71 in severe cases was 76.92%. Conclusions Should pay attention to high-risk areas and high-risk groups, to strengthen the etiological monitoring, to take targeted prevention and control measures.