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目的探讨宜昌市手足口病流行病学特征。方法对国家疾病监测信息管理系统监测的2009年宜昌市手足口病发病情况进行描述性流行病学分析,并进行实验室检测。结果宜昌市手足口病疫情全年呈两个发病高峰,分别在4月、11月。全市疫情分布广泛,13个县(市、区)均有病例报告,以散发为主,局部地区聚集性病例明显。男性发病高于女性,以1～5岁儿童病例为主,各年龄段发病构成差异有统计学意义。结论手足口病的发生存在明显季节、地区、性别、年龄差异,防控工作重点为托幼机构,开展手足口病流行病学和病原学研究,将有助于提出更好的预防和控制措施。
Objective To investigate the epidemiological characteristics of HFMD in Yichang City. Methods A descriptive epidemiological analysis of the incidence of HFMD in Yichang City in 2009 monitored by the National Disease Surveillance Information Management System was conducted and laboratory tests were performed. Results The epidemic situation of HFMD in Yichang City showed two peak incidences in April and November respectively. The epidemic in the city is widely distributed, and there are case reports in 13 counties (cities and districts), with the distribution mainly occurring. The cases of agglomeration in some areas are obvious. The incidence of males was higher than that of females, with the majority of cases of children aged 1 to 5 years old. There was significant difference in incidence among all age groups. Conclusion There are obvious seasonal, regional, gender and age differences in the occurrence of hand, foot and mouth disease, and the focus of prevention and control is to nurseries. Carrying out epidemiological and etiological studies on HFMD will help to propose better prevention and control measures .