齐红霞. 辽宁省盘锦市手足口病流行病学特征分析及疫情预测[J]. 疾病监测, 2017, 32(2): 106-110. DOI: 10.3784/j.issn.1003-9961.2017.02.007
引用本文: 齐红霞. 辽宁省盘锦市手足口病流行病学特征分析及疫情预测[J]. 疾病监测, 2017, 32(2): 106-110. DOI: 10.3784/j.issn.1003-9961.2017.02.007
QI Hong-xia. Analysis and prediction of incidence of hand foot and mouth disease in Panjin[J]. Disease Surveillance, 2017, 32(2): 106-110. DOI: 10.3784/j.issn.1003-9961.2017.02.007
Citation: QI Hong-xia. Analysis and prediction of incidence of hand foot and mouth disease in Panjin[J]. Disease Surveillance, 2017, 32(2): 106-110. DOI: 10.3784/j.issn.1003-9961.2017.02.007

辽宁省盘锦市手足口病流行病学特征分析及疫情预测

Analysis and prediction of incidence of hand foot and mouth disease in Panjin

  • 摘要: 目的 了解2009-2015年辽宁省盘锦市手足口病流行状况,为预警、早期预防控制手足口病流行提供参考依据。方法 采用描述性流行病学方法描述手足口病流行特征和病原检测结果。建立自回归移动平均模型(ARIMA)预测手足口病发病趋势。结果 2009-2015年共报告手足口病7 099例;无死亡;年均发病率为73.32/10万,不同年份发病率比较差异有统计学意义(2=3 131.40,P0.05);手足口病有明显季节性,集中在6-8月,病例数占总数的78.53%;病例主要集中在盘锦市双台子区和兴隆台区,与盘锦市大洼县和盘山县发病率比较差异有统计学意义(2=1 238.17,P0.05);病例以1~5岁最多,占病例总数的74.97%(5 322/7 099)。男性年均发病率为86.87/10万,女性为59.40/10万,二者比较差异有统计学意义(2=249.35,P0.05)。职业以幼托儿童、散居儿童和学生为主,分别占发病总数的57.49%、36.31%和5.37%;病原毒株检测结果以柯萨奇病毒A组16型(Cox A16)为主,占检测总数的53.15%,不同的阳性型别检出率,差异有统计学意义(2=1 308.49,P0.05)。利用ARIMA(0,1,0)(1,1,0)12模型,预测2016年手足口病月发病数分别为1、1、1、2、9、67、124、57、29、16、11和2例。结论 盘锦市手足口病以1~5岁儿童发病为主,7月高发,Cox A16为优势病毒株,预测出2016年手足口病病例数略高于2015年。应采取综合性防治措施,切实预防和控制手足口病的暴发流行。

     

    Abstract: Objective To underst and the epidemiologic characteristics of hand foot and mouth disease(HFMD) in Panjin, Liaoning province, from 2009 to 2015 and predict the epidemic trend of HFMD,and provide evidence for the early warning, prevention and control of HFMD. Methods Descriptive epidemiological analysis was conducted by using the incidence data of HFMD in Panjin during this period and predict the incidence of HFMD in 2016 by using autoregressive integrated moving average model (ARIMA). Results A total of 7 099 cases of HFMD were reported in Panjin from 2009 to 2015 without death, the average incidence was 73.32/100 000, the highest incidence was 165.05/100 000 in 2009, the differences in annual HFMD incidence had significance (2=3 131.40,P0.05);The incidence of HFMD had obvious seasonality, the incidence peak was mainly during June-August with the cases accounting for 78.53%. The area specific differences in HFMD incidence had significance (2=1 238.17,P0.05). Most cases were children aged 1-5 years, accounting for 74.97%;The incidence was 86.87/100 000 in males and 59.40/100 000 in females, the difference had significance (2=249.35,P0.05). Children in child care settings,children outside child care settings and students were the major populations affected, which accounted for 57.49%, 36.31% and 5.37% of the total cases, respectively. The major pathogen was Cox A16, accounting for 53.15%,the difference in pathogen detection rate had significance (2=1 308.49,P0.05). The model of ARIMA (0,1,0)(1,1,0)12 was established to predict the incidence of HFMD in 2016, the predicted monthly case numbers were 1, 1, 1, 2, 9, 67, 124, 57, 29, 16, 11 and 2 respectively. Conclusion HFMD mainly affected children aged 1-5 years, the incidence peak was in July, and Cox A16 was the predominant pathogen. It was predicted that the incidence of HFMD would be slightly higher in 2016 than in 2015, therefore it is necessary to take comprehensive measures to prevent and control the spread and outbreak of HFMD.

     

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