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目的了解南京市手足口病流行病学特征,为手足口病防制工作提供科学依据。方法利用国家疾病监测信息系统监测的2009年南京市手足口病相关资料进行描述性流行病学分析。结果 2009年全市共报告手足口病9173例,发病率为142.47/10万。全年发病呈现两个高峰,分别在4～6月和11月。全市14个区县均有病例报告,城区、城郊和县3种地区之间发病率差异有统计学意义。男性发病率高于女性,以0～5岁儿童病例为主,年龄别发病专率差异有统计学意义。职业分布以散居儿童和幼托儿童为主。对106例病例采样检测,其中EV71型70例、CoxA16型18例、其他肠道病毒3例。结论南京市手足口病发病存在明显的季节、地区和年龄差异。手足口病防控应以散居儿童和幼托儿童为重点人群,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控制措施。
Objective To understand the epidemiological characteristics of hand-foot-mouth disease in Nanjing and provide a scientific basis for prevention and control of hand-foot-mouth disease. Methods Descriptive epidemiological analysis of hand-foot-mouth disease in Nanjing in 2009 monitored by the National Disease Surveillance Information System was conducted. Results In 2009, a total of 9173 hand-foot-mouth disease cases were reported in the city, with an incidence rate of 142.47 / 100,000. The annual incidence of two peaks, respectively, in April to June and November. The city’s 14 districts and counties have case reports, urban, suburban and county incidence of three kinds of differences between the statistically significant. The incidence of males was higher than that of females, with the majority of children aged 0 ~ 5 years. There was significant difference in age and disease incidence rate. Occupation distribution to diaspora and kindergarten children. Samples of 106 cases were detected, including 70 cases of EV71, 18 cases of CoxA16 and 3 cases of other enteroviruses. Conclusion There are obvious seasonal, regional and age differences in the incidence of HFMD in Nanjing. HFMD prevention and control should focus on diaspora and kindergarten children, carry out epidemiology and etiology of hand, foot and mouth disease research, will help to put forward better prevention and control measures.