莱芜市2008－2012年手足15病疫情形势及防控对策分析

目的分析近年来莱芜市手足口病发病态势及采取的防控措施,以有效防控手足口病。方法对2008－2012年中国疾病预防控制信息系统报告的手足口病病例进行分析。结果 2008－2012年莱芜市共报告手足口病病例8 967例,其中重症病例40例（占0.45%）,无死亡病例。年均发病率是139.59/10万;男性发病高于女性,以散居儿童发病为主（占50.11%）。患者最小为3个月,最大为34岁,5岁以下病例7 981例,占发病总数的89.00%。手足口病病原学检测病优势病毒型别分别为2009年肠道病毒71型（Human enterovirus 71,EV 71）感染31例（100.00%）,2010年柯萨奇病毒A16型（CoxsackievirusA16,Cox A16）感染53例（72.60%）,2011年EV 71感染91例（85.05%）,2012年其他肠道病毒感染50例（51.55%）。结论莱芜市手足口病的流行态势与病毒型别有关,发病人群以散居儿童为主。加强疫情监测,管理好传染源,做好托幼机构、学校等重点场所的管理,强化培训和宣传教育对防控手足口病有重要作用。

Epidemic situation and control strategy analysis of HFMD in Laiwu city during 2008 -2012

Objective To analyze the situation and control measures of hand, foot and mouth disease （HFMD） in recent years of Laiwu, in order to prevent and control HFMD effectively. Methods Analyze the HFMD ca- ses reported by China Disease Prevention and Control Information System during 2008 - 2012. Results HFMD were reported 8, 967 cases during 2008 -2012, 40 cases （0. 45% ） were severe cases , no death cases. Av- erage annual incidence was 1391 59/100, 000; Incidence of male was higher than female, mainly were scat- tered children （50. 11% ） . The youngest case was 3 months old, the oldest case was 34 years old, 7, 981 cases under 5 years old （89%） . HFMD disease pathogen detection advantage virus were type EV71 infection 31 cases （100%） in 2009, COXA16 infection 53 cases （72.60%） in 2010, EV71 infection 91 cases （85.05%） in 2011, other enteric viruses infection 50 cases （51.55%） in 2012. Conclusions The popular trend of HFMD was related with the virus type, the incidence group mainly focused on scattered children. Strengthen epidemic surveillance, manage the source of infection, strength management in nurseries, schools and other key places, strengthen training and education, all of these play an important role on the prevention and control of HFMD.