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目的探讨靖江市手足口病的流行病学特征,为控制手足口病提供科学依据。方法利用国家疾病监测信息报告管理系统数据进行分析,对全部病例进行个案流行病学调查。结果2008年5月—2009年10月,靖江市累计报告发生手足口病560例,8起托幼机构手足口病病例聚集性疫情。4、5月份为发病高峰,城区发病率最高,发病人群以散居和托幼儿童为主,5岁以下病例占报告发病数的90.92%。临床症状以手、足、口皮疹及发热为主,未发生重症和死亡病例。托幼机构病例发病前有明显接触史,提示加强托幼机构基本监测与管理可控制手足口病的传播。结论手足口病的发生有明显年龄、性别、职业、地区及季节差异,开展手足口病流行病学调查研究,有助于控制传播。
Objective To investigate the epidemiological characteristics of hand-foot-mouth disease in Jingjiang and provide a scientific basis for the control of hand-foot-mouth disease. Methods The data of National Disease Surveillance Information Reporting Management System were used to analyze the case-by-case epidemiological survey. Results From May 2008 to October 2009, 560 cases of hand-foot-mouth disease and 8 cases of hand-foot-mouth disease in nurseries were clustered in Jingjiang City. In April and May, the incidence peaked and the highest prevalence was in urban areas. The incidence population was dominated by diaspora and kindergarten children. The number of cases under 5 years old accounted for 90.92% of the reported cases. Clinical symptoms of hand, foot, mouth rash and fever-based, no serious cases of death and death. Kindergarten institutions before the onset of a clear history of exposure, suggesting that strengthening the basic monitoring and management of child care institutions can control the spread of hand-foot-mouth disease. Conclusion The occurrence of hand-foot-mouth disease has obvious age, gender, occupational, regional and seasonal differences. The epidemiological investigation of HFMD is helpful to control the spread of HFMD.