四川省： 11月共报告43例，无死亡。发病数较上期上升65.39%，较2013年同期上升514.29%。报告病例较多的市是巴中(17例)、自贡(7例)、达州(6例)、成都(5例)。

山西省： 11月山西省6 个市共报告127 例麻疹病例。病例分布于吕梁市(117 例)、太原市(4 例)、晋中市(2 例)、大同市(2 例)、运城市(1 例)、忻州市(1例)。1 11 月累计报告565 例。

云南省： 11 月云南省麻疹报告发病54 例，报告发病率0.1159/10 万，较2013年同期(16 例)上升237.5%，本月无死亡病例，2013年同期也无死亡病例。发病数地区排序为昭通市(40 例)、文山州(10 例)、昆明市(2例)、曲靖市(1 例)、大理州(1 例)。职业分布以散居儿童为主，占发病总数的88.89%。 流行性感冒

河北省： 本月报告3051例，无死亡，报告发病率4.187/10万。发病数与上月和2013年同期相比分别上升61.94%和37.93%。报告发病率居前5位地区依次为廊坊(16.795/10万)、邯郸(11.054/10万)、张家口(4.64/10万)、承德(3.713/10万)和石家庄(3.419/10万)。职业分布以农民为主(60.08%)；年龄主要集中在6～64岁组(83.97%)；男女性别比为1.36 ∶ 1。 手足口病

浙江省： 11月全省报告手足口病12 523 例，报告重症病例1 例，无死亡病例报告。报告病例数较上月下降46.54%(12 523/23 426)，较2013年同期上升73.62%(12 523/7213)。本月全省11 个市均有病例报告，报告病例数居前5 位的市为温州(2858 例)、宁波(2768 例)、台州(1699 例)、嘉兴(1256 例)和绍兴(1081 例)；报告发病率居前5 位的市为宁波 (36.24/10 万) 、温州(31.24/10 万)、台州(28.22/10 万)、嘉兴(27.59/10 万)、丽水(25.93/10 万)。职业分布以散居儿童(8412 例)和幼托儿童(3724 例)居多，共占96.91%；发病年龄集中在5 岁及以下年龄组，共报告病例11 982 例，占95.68%，其中以1 岁和2 岁组发病数较多，分别占总病例数的28.99%和24.29%。

青海省： 11月共报告发病143例，死亡1例。报告发病率为2.49/10万，发病数较上月下降16.86%，较2013年同期上升257.50%。发病人群以5岁以下儿童(占85.31%)为主，发病率较高的地区为贵德县和城北区。

河北省： 本月报告3618例，无死亡，报告发病率4.965/10万。发病数与上月相比下降21.48%，与2013年同期相比上升54.81%。报告发病率前5位地区依次为保定(10.137/10万)、唐山(7.846/10万)、沧州(7.775/10万)、廊坊(6.966/10万)和秦皇岛(5.256/10万)。职业分布以散居儿童和幼托儿童为主(65.28%和30.24%),发病年龄集中在0～5组(93.56%),男女性别比为1.56 ∶ 1。

四川省： 本月全省共报告11 991例，无死亡。发病数较上期上升9.71%，较2013年同期上升39.24%。报告病例数较多的市为成都(4888例)、德阳(1051例)、眉山(909例)、南充(675例)和巴中(632例)。

甘肃省： 11月共报告病例1490例，无死亡病例，发病率5.78/10万，发病数较上月下降11.04%，较2013年同期上升4.52倍。报告发病数居前4位的市为兰州456例、酒泉208例、金昌127例和武威122例，占报告病例总数的61.28%；发病职业以幼托儿童、散居儿童为主，分别占50.94%和39.13%。

山西省： 全省11 个市共报告1941 例手足口病病例，较上月(1982 例)下降2.07%，较2013年同期(908 例)上升113.77%。报告病例数居前5 位的县(区)为临汾市尧都区(181 例)、太原市小店区(142 例)、临汾市洪洞县(113例)、朔州市怀仁县(102 例)和太原市杏花岭区(72 例)。1 11 月累计报告33 942 例。

云南省： 11 月全省手足口病报告发病7339 例，报告发病率15.7523/10 万，较2013年同期(3074 例)上升138.74%，本月无死亡病例报告，与2013年同期相同。发病数居前5位为昆明市(1639 例)、玉溪市(1033 例)、曲靖市(790 例)、红河州(596 例)和保山市(531 例)，5个州(市)发病数占全省发病数的62.53%。男性发病3901 例，女性发病2778 例，报告发病数在0～4 岁出现高峰。以散居儿童为主，占发病总数的69.00%。 Measles

Sichuan province: In November, 43 cases were reported without death. The reported cases increased by 65.39% and 514.29% respectively compared with last month and the same period in 2013. The prefectures (municipality) reporting high case numbers were Bazhong (17 cases), Zigong (7 cases), Dazhou (6 cases) and Chengdu (5 cases).

Shanxi province: In November 2014, a total of 127 cases were reported. The cases were distributed in Lüliang (117 cases), Taiyuan (4 cases), Jinzhong (2 cases), Datong (2 cases), Yuncheng (1 case) and Xinzhou (1 case). By the end of November 2014, 565 cases had been reported cumulatively.

Yunnan province: In November 2014, 54 cases were reported without death, and the reported incidence was 0.1159/lakh. The reported cases increased by 237.5% compared with the same period in 2013 (16 cases, 0 death). The rank of municipality and prefectures in reporting case numbers were Zhaotong (40 cases), Wenshan (10 cases), Kunming (2 cases), Qujing (1 case) and Dali (1 case). The cases were mainly distributed in children outside child care settings, accounting for 88.89%. Influenza

Hebei province: In November 2014, a total of 3051 cases were reported without death. The reported incidence was 4.187/lakh. The reported cases increased by 61.94% and 37.93% respectively compared with last month and the same period in 2013. In reporting incidence, Langfang (16.795/lakh), Handan (11.054/lakh), Zhangjiakou (4.64/lakh), Chengde (3.713/lakh) and Shijiazhuang (3.419/lakh) ranked 1^st-5^th at municipal (prefecture) level. The cases were mainly distributed in farmers (60.08%) and in age group 6-64 year (83.97%). The male to female ratio of the cases was 1.36:1. Hand foot and mouth disease

Zhejiang province: In November 2014, a total of 12 523 cases, including 1 severe cases, were reported without death. The reported cases declined by 46.54% and increased by 73.62% respectively compared with last month (23 426 cases) and the same period in 2013 (7213 cases). The cases were reported in all 11 prefectures (municipality). In reporting high case number, Wenzhou (2858 cases), Ningbo (2768 cases), Taizhou (1699 cases), Jiaxing (1256 cases) and Shaoxing (1081 cases) ranked 1^st-5^th at municipal (prefecture) level, and in reporting high incidence, Ningbo (36.24/lakh), Wenzhou (31.24/lakh), Taizhou (28.22/lakh), Jiaxing (27.59/lakh) and Lishui (25.93/lakh) ranked 1^st-5^th at municipal (prefecture) level. The cases were mainly distributed in children outside child care settings (8412 cases) and children in child care settings (3724 cases), accounting for 96.91%. And 11 982 cases were reported in age group ≤5 years, accounting for 95.68%. The cases in age groups 1 year and 2 years accounted for 28.99% and 24.29% of the total, respectively.

Qinghai province: In November 2014, 143 cases were reported, including 1 death. The reported incidence was 2.49/lakh. The reported cases declined by 16.86% and increased by 257.50% respectively compared with last month and the same period in 2013. The cases were mainly distributed in age group ≤5 years (85.31%). The areas reporting high incidence were Guide county and Chengbei district.

Hebei province: In November 2014, a total of 3618 cases were reported without death. The reported incidence was 4.965/lakh. The reported cases declined by 21.48% and increased by 54.81% respectively compared with last month and the same period in 2013. In reporting incidence, Baoding (10.137/lakh), Tangshan (7.846/lakh), Cangzhou (7.775/lakh), Langfang (6.966/lakh) and Qinhuangdao (5.256/lakh) ranked 1^st-5^th at municipal (prefecture) level. The cases were mainly distributed in children outside child care settings (65.28%) and children in child care settings (30.24%). The cases in age group 0-5 years accounted for 93.56%. The male to female ratio of the cases was 1.56:1.

Sichuan province: In November 2014, a total of 11 991 cases were reported without death. The reported cases increased by 9.71% and 39.24% respectively compared with last month and the same period in 2013. The prefectures (municipality) reporting high case number included Chengdu (4888 cases), Deyang (1051 cases), Meishan (909 cases), Nanchong (675 cases) and Bazhong (632 cases).

Gansu province: In November 2014, a total of 1490 cases were reported without death. The reported incidence was 5.78/lakh. The reported cases declined by 11.04% and increased by 4.52 times respectively compared with last month and the same period in 2013. In reporting case number, Lanzhou (456 cases), Jiuquan (208 cases), Jinchang (127 cases) and Wuwei (122 cases) ranked 1^st-4^th at municipal (prefecture) level, their cases accounted for 61.28% of the total. The cases were mainly distributed in children in child care settings (50.94%) and children outside child care settings (39.13%).

Shanxi province: In November 2014, a total of 1941 cases were reported, a decline of 2.07% and an increase of 113.77% respectively compared with last month and the same period in 2013. In reporting high case number, Yaodu district of Linfen (181 cases), Xiaodian district of Taiyuan (142 cases), Hongdong county of Linfen (113 cases), Huairen county of Shuozhou (102 cases) and Xinhualing district of Taiyuan (72 cases) ranked 1^st-5^th at county (district). By the end of November 2014, 33 942 cases had been reported cumulatively.

Yunnan province: In November 2014, a total of 7339 cases were reported with the incidence of 15 7523/lakh. The reported cases increased by 138.74% compared with the same period in 2013 (3074 cases). No death was reported. In reporting case number, Kunming (1639 cases), Yuxi (1033 cases), Qujing (790 cases), Honghe (596 cases) and Baoshan (531 cases) ranked 1^st-5^th at municipal (prefecture) level, their cases accounted for 62.53% of the total. And 3901 cases occurred in males and 2778 cases occurred in females. The reported case number was highest in age group 0-4 years. The cases were mainly children outside child care settings (69.00%).