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目的分析龙岩市手足口病流行病学特征,为防控工作提供依据。方法采用描述流行病学方法对龙岩市2009~2012年手足口病监测资料进行分析。结果 2009~2012年共报告手足口病17 036例,年均报告发病率为157.95/10万,各年度报告发病率依次为50.60/10万、140.77/10万、261.84/10万和190.28/10万(P<0.01),病死率为0.05%;男、女性别比为1.96∶1;病例主要集中在0~4岁年龄组,占91.56%;散居儿童占66.52%;4~6月是每年的发病高峰。报告重症病例102例,占0.60%,主要集中在3岁以下,占78.43%,重症病例病死率为8.82%。检测各类标本1 730份,肠道病毒检出率为54.97%,其中EV71占47.11%,CoxA16占32.49%,其他肠道病毒占20.40%;死亡病例均为EV71病毒感染。结论龙岩市手足口病的发生有明显的流行特征,EV71、CoxA16和其他肠道病毒共同存在,要加强医务人员培训、疫情监测报告和宣传教育力度。
Objective To analyze the epidemiological characteristics of hand-foot-mouth disease in Longyan City and provide the basis for prevention and control. Methods Descriptive epidemiological methods were used to analyze the monitoring data of hand-foot-mouth disease from 2009 to 2012 in Longyan City. Results A total of 17 036 cases of hand, foot and mouth disease were reported from 2009 to 2012, with an average annual incidence of 157.95 / 100,000. The annual incidence rates were 50.60 / 100,000, 140.77 / 100,000, 261.84 / 100,000 and 190.28 / 10, respectively (P <0.01). The case fatality rate was 0.05%. The male-female ratio was 1.96:1. The cases were mainly in the 0-4 age group, accounting for 91.56%. The diaspora accounted for 66.52% The peak incidence. Reported 102 cases of severe cases, accounting for 0.60%, mainly concentrated in 3 years of age, accounting for 78.43%, severe case fatality rate was 8.82%. A total of 1 730 samples of various types were detected. The detection rate of enterovirus was 54.97%, of which 47.11% were EV71, 32.49% were CoxA16 and 20.40% were other enteroviruses. The deaths were EV71 virus. Conclusion The occurrence of hand-foot-mouth disease in Longyan City has obvious epidemic characteristics. EV71, CoxA16 and other enterovirus co-exist, so it is necessary to strengthen the training of medical personnel, report of epidemic situation monitoring and publicity and education.