石棉县手足口病流行特征及病原学监测结果研究.docVIP

石棉县手足口病流行特征及病原学监测结果研究【摘要】目的 了解石棉县手足口病流行特征及病原体分布情况，为制定防制措施提供科学诊据。方法 对2010年—2011年报告的手足口病监测资料进行描述性流行病学分析。结果 2年共报告180例，无死亡和重症病例发生，年平均报告发病率73.11/10万。2011年报告发病率58.25/10万，与2010年相比下降33.79%;发病率农村儿童＞城市儿童。11月为发病最高峰，4—7月为次高峰，报告发病多发生于5岁以下儿童，占发病总数的92.78%，其中1—4岁组发病较高，占发病总数的75%；散居儿童152例，占发病总数的84.44%；幼托儿童22例，占发病总数的12.22%。 COXA16型和其他肠道病毒为石棉县发病主要流行毒株，占80.00%，但不同血清型间无交叉免疫。结论 加强农村、托幼机构等重点人群防控知识的健康教育宣传和疫情的监测、指导、督查，及时处置散发病例和聚集性病例，是有效控制疫情和突发公共卫生事件发生的重要措施。 【关键词】 手足口病；肠道病毒感染；流行病学；分析 【中国分类号】R512.5【文献标识码】A【文章编号】1004-5511（2012）06-0366-02 【Abstract】Objective To understand the epidemic characteristics of county of hand foot mouth disease and pathogen, to formulate control measures and provide scientific diagnosis according to. Methods fromeport called the hand foot and mouth disease monitoring data were analyzed by descriptive epidemiology analysis. Results 2years reported a total of 180 cases, no death and severe cases occur, the average annual report incidence of 73.11 /100000. The reported incidence in 201158.25 /100000, compared with 201033.79% decline; the incidence of children in rural area of city children . “. November for the onset of the peak, in 4 and July for the summit, reported incidence occurred in children under the age of 5, accounting for the total incidence of92.78%, of which 1-4higher incidence, accounting for the total incidence of75%; scattered children in 152 cases, accounting for the total incidence of84.44% preschool children; in 22 cases, accounting for the total incidence the12.22%. Type COXA16and other intestinal virus as a county chief pathogenesis of epidemic strains, representing 80% different serotypes, but no cross immunity. Conclusion to strengthen rural, nurseries and other key population prevention and control knowledge health education campaigns and surveillance, guidance, inspection, promptly disposed of sporadic cases and clustering of cases, is effective to control the epidemic and public health emergencies of important measures in place.