丁全明, 安银翠, 马辛瑶, 王小军, 张久丁, 武敏讷, 高洁. 2010-2015年陕西省汉中市手足口病流行特征分析[J]. 疾病监测, 2017, 32(1): 34-37. DOI: 10.3784/j.issn.1003-9961.2017.01.010
引用本文: 丁全明, 安银翠, 马辛瑶, 王小军, 张久丁, 武敏讷, 高洁. 2010-2015年陕西省汉中市手足口病流行特征分析[J]. 疾病监测, 2017, 32(1): 34-37. DOI: 10.3784/j.issn.1003-9961.2017.01.010
DING Quan-ming, AN Yin-cui, MA Xin-yao, WANG Xiao-jun, ZHANG Jiu-ding, WU Min-ne, Gao Jie. Analysis on epidemiological characteristics of hand foot mouth disease in Hanzhong, Shaanxi, 2010-2015[J]. Disease Surveillance, 2017, 32(1): 34-37. DOI: 10.3784/j.issn.1003-9961.2017.01.010
Citation: DING Quan-ming, AN Yin-cui, MA Xin-yao, WANG Xiao-jun, ZHANG Jiu-ding, WU Min-ne, Gao Jie. Analysis on epidemiological characteristics of hand foot mouth disease in Hanzhong, Shaanxi, 2010-2015[J]. Disease Surveillance, 2017, 32(1): 34-37. DOI: 10.3784/j.issn.1003-9961.2017.01.010

2010-2015年陕西省汉中市手足口病流行特征分析

Analysis on epidemiological characteristics of hand foot mouth disease in Hanzhong, Shaanxi, 2010-2015

  • 摘要: 目的 分析2010-2015年陕西省汉中市手足口病流行病学特征,为手足口病防控提供依据。方法 采用描述性流行病学方法对汉中市2010-2015年手足口病病例进行分析。结果 2010-2015年汉中市共报告手足口病病例23 082例,年均发病率为111.94/10万,重症246例,重症率为1.07%,死亡10例,病死率为0.04%。发病以4-7月为主,平川县年均发病率明显高于山区县(2=234.09,P0.05)。男性发病高于女性(2=31.05,P0.05),0~5岁组发病率较高,尤其是1~3岁组散居儿童(2=474.91,P0.05)。肠道病毒71型(EV71)阳性率逐年下降,但仍是引起重症(74.32%)的主要病原体,其他肠道病毒阳性率逐年增加(2=197.80,P0.05)。结论 汉中市手足口病发病有明显的季节、地区和人群分布特征,应针对这些特征落实综合性防治措施和提倡EV71灭活疫苗的使用,预防和控制手足口病的流行。

     

    Abstract: Objective To analyze the epidemiological characteristics of hand foot mouth disease (HMFD) in Hanzhong, Shaanxi province, during 2010-2015, and provide evidence for prevention and control of HFMD. Methods Epidemiological analysis on the incidence of HFMD in Hanzhong during 2010-2015 was conducted. Results A total of 23 082 HFMD cases, including 246 severe cases (1.07%),were reported in Hanzhong from 2010 to 2015. The annual average incidence was 111.94/100 000. Ten cases died, the case fatality was 0.04%. Most cases occurred from April to July. The annual incidence of HFMD in plain counties was significantly higher than that in mountain counties (2=234.09, P0.05). The incidence in males was higher than that in females (2=31.05, P0.05). The incidence was higher in age group 0-5 years, especially in 1-3 years old children outside child care settings(2=474.91, P0.05). The positive rate of enterovirus 71 (EV71) decreased year by year, but it was still the major pathogens in severe cases (74.32%), and the positive rate other enteroviruses increased year by year (2=197.80, P0.05). Conclusion The incidence of HFMD had obvious seasonality, area and population specific characteristics in Hanzhong. It is necessary to take comprehensive measures and promote the use of EV71 inactivated vaccine to prevent and control the incidence of HFMD.

     

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