论文部分内容阅读
目的了解湖北省手足口病流行病学特征和暴发疫情的特点。方法通过收集《传染病报告信息管理系统》和《突发公共卫生事件报告管理系统》的手足口病相关数据进行描述性分析和季节性研究。结果 2009—2015年湖北省累计报告手足口病496 096例,报告发病具有分布广泛和明显的季节性特征,每年的3月份发病数开始升高,4~7月达到第1个发病高峰期,其中5月和4月的季节指数最大,分别为233.67%和201.88%,为发病旺季,10~12月为次高峰;报告病例性别比为1.69∶1,主要集中在5岁及以下儿童。襄阳市、黄石市、神农架林区和武汉市是重点防控区域。暴发疫情集中在手足口病的发病高峰期,4月份报告起数最多,主要分布在幼儿园和社区。结论 5岁以下儿童仍为手足口病防控的重点人群,托幼机构为暴发疫情防控的重点场所,尤其是在第一发病高峰期(特别是4月)需加强对重点人群和重点场所的防控工作,降低手足口病的发病率和危害性。
Objective To understand the epidemiological characteristics of HFMD in Hubei Province and the characteristics of the outbreak. Methods Descriptive analysis and seasonal studies were conducted by collecting data on hand-foot-mouth disease of Infectious Disease Reporting Information Management System and Public Health Emergencies Reporting Management System. Results A total of 496 096 HFMD cases were reported in Hubei Province during 2009-2015. The reported incidences were characterized by widespread and obvious seasonal features. The number of onset in March increased from April to July, reaching the first peak of incidence in April and July, The seasonal indices of May and April were the largest, 233.67% and 201.88% respectively, which were the peak season and the next peak from October to December. The sex ratio of reported cases was 1.69:1, which mainly concentrated in children of 5 years old and below. Xiangyang City, Huangshi City, Shennongjia Forest District and Wuhan City are the key prevention and control areas. Outbreaks concentrated in the peak incidence of hand-foot-mouth disease, reported the highest in April, mainly in kindergartens and communities. Conclusions Children under 5 years of age are still the key population for the prevention and control of hand-foot-mouth disease. The nurseries and kindergartens are the key places for prevention and control of outbreaks, especially at the peak of the first episode (especially in April) Prevention and control work to reduce the incidence of hand-foot-mouth disease and the dangers.