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目的:了解钦州市钦南区手足口病的流行特征,为制定科学合理的防控措施提供依据。方法:通过国家疫情监测网收集2008-2013年手足口病疫情信息,采用描述流行病学方法,对所得资料进行流行病学统计分析。结果:钦州市钦南区2008-2013年手足口病病例8 066例,年平均发病率为227.37/l0万,死亡1例,平均病死率为0.01%,流行呈自然消长的趋势;发病最小年龄30天,最大年龄48岁,男性高于女性,男女比例1.74∶1,4岁以下儿童占85.20%,散居儿童占89.31%;四季均发病,呈双峰流行;城区发病率高于沿海乡镇,沿海乡镇高于内陆乡镇;病原学呈混合流行的状态,但以EV71为流行优势株。结论:钦州市钦南区手足口病的预防控制重点放在夏秋季和4岁以下儿童。
Objective: To understand the epidemic characteristics of hand, foot and mouth disease in Qinnan District of Qinzhou City and provide the basis for the establishment of scientific and reasonable prevention and control measures. Methods: The epidemic situation information of hand-foot-mouth disease in 2008-2013 was collected through the national epidemiological monitoring network, and the descriptive epidemiological method was used to analyze the epidemiological data. Results: A total of 8 066 HFMD cases were found in Qinan District of Qinzhou City from 2008 to 2013, with an average annual incidence of 227.37 per 100 000. One case died and the average case fatality rate was 0.01%. The prevalence showed a trend of natural growth and decline. The minimum age of onset 30 days, the maximum age of 48 years old, males than females, males and females ratio 1.74:1 85.20% of children under the age of 4, scattered children accounted for 89.31%; all seasons were prevalent, bimodal prevalence; urban incidence was higher than coastal towns, Coastal towns are higher than inland towns; the etiology is mixed and epidemic, but EV71 is predominant. Conclusion: The prevention and control of hand, foot and mouth disease in Qinan District, Qinzhou City focuses on summer and autumn and children under 4 years of age.