余姚市2008-2010年手足口病流行病学研究.docVIP

余姚市2008-2010年手足口病流行病学研究摘要：目的 分析余姚市2008年5月至2010年4月间4975例手足口病流行特征，为制定防控措施提供科学依据。方法 对收集的4975例手足口病资料进行统计学处理和流行病学描述。 结果 2008年5月至2010年4月共报告病例4975例，4～7月为发病高峰；5 岁以下儿童发病占95.98％，其中3 岁以下儿童发病占79.06％；性别比男：女为1.57:1；发病以散居儿童为主，占61.11%；病例集中于城区4个街道；实验室检测EV71占46.38％；CoxA16占35.75％。结论 余姚市手足口病发病高峰为4～7月，报告病例以5岁以下儿童为主，病因构成以EV71和CoxA16为主。在制防控措施时应考虑到流行高峰、发病的高危人群等因素。 关键词：手足口病；流行病学；分析； Epidemiological Analysis of 4975 Patients with Hand-foot-mouth disease in Yuyao City. GU Yong-quan, MIAO CHAO, SHI Hong-hui.(Yuyao Center for Disease Control and Prevention, Ningbo,Zhejiang 315400,China) [Abstract] Objective To analyze the epidemiological characteristics of 4975 patients with hand-foot-mouth diseases in Yuyao city during May 2008 to April 2010 ,so as to provide the scientific basis for the prevention and control for HFMD. Methods The collected data of 4975 patients with HFMD were conducted for statistical analysis and epidemiological description. Results A total of 4975 cases of HFMD were reported in Yuyao during May 2008 to April 2010, the incidence peak was April to July. The 95.98 percentage of total patients were children under 5 years of age, of which incidence of children under 3 years accounted for 79.06%. The ration of male and female was 1.57:1. Most of the HFMD patients were inhabiting children, which accounted for 61.11%. Most of HFMD cases were located in city streets. By laboratory tests EV71 accounted for 46.38%, CoxA16 accounted for 35.75%. Conclusions The incidence peak was observed during April-July. Most reported cases were children under 5 years age. The majority of reported cases were caused by EV71 or CoxA16.The incidence peak of HFMD and the risk populations should be considered in the development of prevention and control measures .省略。 2008 年5 月2 日起，卫生部将手足口病纳入丙类传染病管理，根据卫生部公告，2008 年全国手足口病发病率居丙类传染病第2 位［1］。本文对余姚市2008 年5 月至2010 年4月间的手足口病病例进行流行病学分析，为制定有效的防控策略提供依据。 1 材料与方法 1.1资料来源 资料数据来自宁波市卫生局公共卫生应急指挥系统。 实验室检测数据资料来自余姚市疾病预防控制中心手足口病实验室登记本。 1.2 方法 采用描述性流行病学方法，对所