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目的了解2010-2013年丹阳市手足口病流行特征,为控制疫情提供依据。方法根据国家疾病监测信息报告管理系统中手足口病发病统计数据,对丹阳市手足口病发病资料进行流行病学分析。结果 2010-2013年丹阳市共报告手足口病病例4 734例,不同年份手足口病的报告发病率差异有统计学意义(P<0.05);病例主要分布在云阳镇、界牌镇和开发区,占总发病数的50.43%;手足口病高发于1~3岁的儿童且男性发病多于女性;职业构成以散居儿童及幼托儿童为主;发病时间主要集中在4~7月份,7月达高峰;手足口病患者的发病时间与出生月份之间具有显著的正相关性(r=0.95,P<0.01);病原学分布以EV71和Cox A16感染为主(分别为71.9%和16.8%)。结论丹阳市手足口病发生呈现逐年下降趋势;具有明显季节性以及人群性;出生月份对于手足口病的暴发具有一定的影响。
Objective To understand the epidemiological characteristics of hand-foot-mouth disease in Danyang from 2010 to 2013 and provide basis for controlling the epidemic. Methods According to the statistics of hand-foot-mouth disease in the national disease-monitoring information report management system, the epidemiological data of hand-foot-mouth disease in Danyang were analyzed. Results A total of 4 734 cases of hand-foot-mouth disease were reported in Danyang from 2010 to 2013. The reported incidence of hand-foot-mouth disease in different years was statistically different (P <0.05). The cases were mainly distributed in Yunyang Town, Jiepai Town and development District, accounting for 50.43% of the total number of cases; hand-foot-mouth disease in children aged 1 to 3 years old and more men than women; occupational composition to scattered children and child care-based children; onset time is mainly concentrated in 4 to 7 months, (R = 0.95, P <0.01). The etiological distribution was mainly associated with EV71 and Cox A16 infection (71.9%, respectively) and the incidence of hand-foot-mouth disease was positively correlated with the month of birth 16.8%). Conclusion The incidence of hand-foot-mouth disease in Danyang City shows a year-by-year downward trend with obvious seasonal and crowdableness. The month of birth has an impact on the outbreak of hand-foot-mouth disease.