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目的了解梅州市手足口病流行特征。方法对2009-2012年《国家疾病监测信息报告管理系统》报告的梅州市手足口病个案和2010-2012年手足口病哨点监测病原学资料进行流行病学分析。结果 2009-2012年梅州市共报告手足口病38 257例,发病率为225.45/10万;各年发病率分别为103.15/10万、238.85/10万、269.97/10万和288.44/10万,不同年份间发病率差异有统计学意义(P<0.01);梅州市8县(市、区)各镇(办事处)均有病例报告,每年各县(市、区)发病率差异均有统计学意义(P<0.01);病例集中在5-7月,占病例总数的48.79%;1~3岁年龄组发病最多,占报告病例的77.74%;职业以散居儿童为主,占报告病例总数的84.37%;病原学监测数据显示本市手足口病病原以EV71为主,占60.23%。结论梅州市手足口病发病率呈逐年上升趋势,当前手足口病严重危害梅州市小年龄组儿童身体健康,应加强重点地区疫情监测和分析,防止其暴发流行。
Objective To understand the epidemic characteristics of hand, foot and mouth disease in Meizhou City. Methods Epidemiological analysis of hand-foot-mouth disease in Meizhou City from 2009 to 2012 and the etiology of sentinel-site monitoring of HFMD in 2010-2012 were conducted. Results A total of 38 257 HFMD cases were reported in Meizhou City from 2009 to 2012, with an incidence rate of 225.45 / 100 000. The incidence rates in each year were 103.15 / lakh, 238.85 / lakh, 269.97 / lakh and 288.44 / lakh respectively, There were significant differences in the incidence of disease in different years (P <0.01). There were case reports in 8 counties (cities and districts) in Meizhou City. The incidence of each county (city and district) (P <0.01). The cases were concentrated in May-July, accounting for 48.79% of the total number of cases. The incidence was highest in the age group of 1 to 3 years, accounting for 77.74% of the reported cases. The occupations were mainly scattered children, accounting for the total number of reported cases Of the 84.37%; etiological monitoring data show that the city’s EV71-based pathogens, accounting for 60.23%. Conclusion The incidence of hand-foot-mouth disease in Meizhou City is increasing year by year. Currently hand-foot-mouth disease seriously affects the health of children in the small-age group in Meizhou City. Monitoring and analysis of outbreaks in key areas should be strengthened to prevent their outbreak.