李佳霖, 刘莹莹, 于秋丽, 赵文娜, 苏通, 谢赟, 齐顺祥, 李琦. 2016-2019年河北省手足口病流行特征及时空聚集性分析[J]. 疾病监测, 2022, 37(7): 941-948. DOI: 10.3784/jbjc.202204010648
引用本文: 李佳霖, 刘莹莹, 于秋丽, 赵文娜, 苏通, 谢赟, 齐顺祥, 李琦. 2016-2019年河北省手足口病流行特征及时空聚集性分析[J]. 疾病监测, 2022, 37(7): 941-948. DOI: 10.3784/jbjc.202204010648
Li Jialin, Liu Yingying, Yu Qiuli, Zhao Wenna, Su Tong, Xie Yun, Qi Shunxiang, Li Qi. Epidemiological characteristics and spatiotemporal clustering of hand foot and mouth disease in Hebei, 2016−2019[J]. Disease Surveillance, 2022, 37(7): 941-948. DOI: 10.3784/jbjc.202204010648
Citation: Li Jialin, Liu Yingying, Yu Qiuli, Zhao Wenna, Su Tong, Xie Yun, Qi Shunxiang, Li Qi. Epidemiological characteristics and spatiotemporal clustering of hand foot and mouth disease in Hebei, 2016−2019[J]. Disease Surveillance, 2022, 37(7): 941-948. DOI: 10.3784/jbjc.202204010648

2016-2019年河北省手足口病流行特征及时空聚集性分析

Epidemiological characteristics and spatiotemporal clustering of hand foot and mouth disease in Hebei, 2016−2019

  • 摘要:
      目的   分析河北省2016—2019年手足口病流行特征和时空分布特征,探讨河北省手足口病发病的重点区域,为制定手足口病防控策略提供科学依据。
      方法   收集传染病信息网络直报系统报告的手足口病发病资料,对2016—2019年河北省手足口病流行病学特征进行描述性分析;通过空间自相关分析与时空扫描分析相结合的方法探索2016—2019年河北省手足口病的时空分布特征。
      结果   2016—2019年河北省累计报告手足口病病例179 705例,年均发病率为59.63/10万,发病高峰期主要分布于6—8月。 男女发病性别比为1.50∶1,发病主要集中在0~5岁年龄组,散居儿童为主要发病人群,发病率最高的地区主要分布在河北省中部、中南部和东部。 空间自相关分析与时空扫描分析结果显示河北省手足口病发病具有时空聚集性,聚集时间主要分布在5—12月,2016—2018年高发病聚集区主要分布在河北省中部和中南部地区,2019年分布在河北省北部地区。
      结论  河北省手足口病发病有明显季节、人群、地区差异,且存在明显的时空聚集性,中部及中南部地区为手足口病的重点防控地区;发病聚集区在各年间存在变化,对低发病地区的防控同样不可忽视。

     

    Abstract:
      Objective  To understand the epidemiological and spatiotemporal distribution characteristics of hand foot and mouth disease (HFMD) in Hebei province from 2016 to 2019, identify the areas with high-incidence of HFMD and provide scientific basis for the development of HFMD prevention and control strategies.
      Methods  The incidence data of HFMD in Hebei from 2016 to 2019 reported through the infectious disease information network direct reporting system were collected for a descriptive analysis. Spatial autocorrelation analysis and spatiotemporal scanning analysis were conducted to understand the spatiotemporal distribution characteristics of HFMD in Hebei from 2016 to 2019.
      Results  From 2016 to 2019, a total of 179 705 cases of HFMD were reported in Hebei with an average annual incidence rate of 59.63/100 000, the annual incidence peaked during June−August. The male to female ratio of the cases was 1.50∶1, and the incidence was high in age group 0−5 years, the main affected population was children outside child care settings. The areas with the high incidence were mainly in the central, central south and east parts of Hebei. The results of spatial autocorrelation analysis and spatiotemporal scanning analysis showed that the incidence of HFMD in Hebei had spatiotemporal clustering from May to December, the areas with highincidence were mainly in the central and central-southern Hebei from 2016 to 2018, and in the northern Hebei in 2019.
      Conclusion  The incidence of HFMD in Hebei had obvious season, population and area specific differences, and there was obvious spatiotemporal and clustering in central and central southern Hebei.; The clustering areas varied with year, and the prevention and control of HFMD in low-incidence areas cannot be ignored.

     

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