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目的了解2014年上海市浦东新区手足口病流行特征及病原学特征,为有效防控手足口病的发生提供依据。方法应用描述流行病学方法对浦东新区2014年手足口病疫情资料进行分析。结果 2014年浦东新区共报告手足口病16 184例,发病率为296.89/10万。重症病例17例,聚集性病例1 175起,无暴发疫情。男性发病率高于女性;5岁以下发病数13 570例,占总发病人数的83.85%;职业以散居儿童(8 993例)和幼托儿童(6 149例)为主。发病高峰在4—7月。肠道病毒的检出率为65.05%,主要病原是柯萨奇A16型(Cox A16)和肠道病毒71型(EV71)。结论 2014年浦东新区手足口病发病处于高强度流行状态,开展手足口病流行病学和病原学研究,将有助于提出进一步有针对性的防控措施。
Objective To understand the epidemiological and etiological characteristics of HFMD in Pudong New Area in 2014 and provide evidence for the prevention and control of HFMD. Methods Epidemiological methods were used to analyze the data of 2014 hand-foot-mouth disease in Pudong New Area. Results In 2014, a total of 16 184 hand-foot-mouth disease cases were reported in Pudong New Area with a prevalence of 296.89 / 100 000. 17 cases of severe cases, clustered cases of 1 175 cases, no outbreaks. The incidence of males was higher than that of females. The incidence of diseases under 5 years old was 13 570, accounting for 83.85% of the total. The occupations were mainly scattered children (8 993 cases) and preschool children (6 149 cases). Peak incidence in April-July. The detection rate of enterovirus was 65.05%. The main pathogens were Cox A16 and EV71. Conclusion The occurrence of HFMD in Pudong New Area in 2014 is in a state of high intensity epidemiology. Carrying out epidemiological and etiological studies on HFMD will help to propose further targeted prevention and control measures.