2008-2013年云南省手足口病流行特征和空间分布特点分析

王荣华; 李琼芬; 林燕; 戚艳波; 邬志薇; 郝林会; 黄甜

doi:10.3784/j.issn.1003-9961.2014.11.005

2008-2013年云南省手足口病流行特征和空间分布特点分析

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出版历程
- 收稿日期: 2014-05-05
- 刊出日期: 2014-11-19

Epidemiology of hand foot and mouth disease and geographic distribution of the cases in Yunnan, 2008-2013

摘要

摘要: 目的分析云南省2008-2013年手足口病流行特征和空间分布特点,为云南省手足口病的预防控制工作提供依据.方法收集云南省2008-2013年中国疾病监测信息报告管理系统中手足口病个案信息,采用描述性流行病学方法和应用地理信息系统技术进行分析.结果云南省2008-2013年共报告手足口病234 383例,报告发病率逐年波动上升,2008年25.26/10万,2009年32.84/10万,2010年105.68/10万,2011年85.54/10万,2012年133.28/10万,2013年128.06/10万,发病高峰集中在每年4～7月;发病以5岁以下儿童为主,占总发病数的86.62%,1～3岁组发病率达到1506.18/10万;发病具有明显的时空聚集性,主要集中在中心城市和旅游风景区;6年间,不同地区手足口病病原学分型的优势毒株存在交替变化现象.结论云南省手足口病防控工作的重点区域是中心城市和旅游风景区,同时要加强农村和边远山区疫情监测和预警,防控关键期在4-7月,重点人群是5岁以下幼托儿童和散居儿童.
- 手足口病 /
- 流行特征 /
- 空间分布特点
Abstract: Objective To understand epidemiological characteristics of hand foot and mouth disease (HFMD) in Yunnan province during 2008-2013 and provide evidence for the prevention and control of HFMD in Yunnan. Methods The incidence data of HFMD in Yunnan from 2008 to 2013 were obtained from national disease reporting information system for the descriptive epidemiological analysis and Geographic Information System was used to analyze the distribution of the HFMD cases. Results A total of 234 383 HFMD cases were reported in Yunnan during this period. The incidence varied with year, which was 25.26/lakh in 2008,32.84/lakh in 2009, 105.68/lakh in 2010, 85.54/lakh in 2011, 133.28/lakh in 2012 and 128.06/lakh in 2013. The annual incidence peak was during April-July. Up to 86.62% of the cases were children aged Conclusion It is necessary to strengthen the prevention and control of HFMD in people living in urban areas and scenic areas and the surveillance for HFMD in rural areas and remote mountain areas in Yunnan, especially in children aged < 5 years during April-July of a year.
- Hand foot and mouth disease /
- Epidemiological characteristics /
- Geographic distribution

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参考文献(11)

[1]	SolomonT,LewthwaiteP,PereraD,etal.Virology,epidemiology,pathogenesis,andcontrolofenterovirus71[J].LancetInfectDis,2010,10(11):778-790.
[2]	YangF,RenLL,XiongZH,etal.Enterovirus71outbreakinthepeople'srepublicofChinain2008[J].JClinMicrobiol,2009,47(7):2351-2352.
[3]	HorstMA,CocoAS.Observingthespreadofcommonillnessesthroughacommunity:usinggeographicinformationsystems(GIS)forsurveillance[J].JAmBoardFamMed,2010,23(1):32-41.
[4]	QiaoMK,ShiLM,WangY,etal.EpidemiologyandetiologyofhandfootandmouthdiseaseinNanjing2011[J].MedicalInnovationofChina,2013,10(1):89-91.(inChinese)乔梦凯,石利民,王燕,等.南京市2011年手足口病流行病学及病原学特征分析[J].中国医学创新,2013,10(1):89-91.
[5]	ZhangL,LiXT,JiaL,etal.EpidemiologicalcharacteristicsofhandfootandmouthdiseaseinBeijing,2010[J].ModernPreventiveMedicine,2012,39(17):4359-4362.(inChinese)张莉,李锡太,贾蕾,等.北京市2010年手足口病流行情况分析[J].现代预防医学,2012,39(17):4359-4362.
[6]	ShiP,QianYH,MiaoXL,etal.StudyonetiologycharacteristicsofhandfootandmouthdiseaseinWuxi,2009[J].ChineseJournalofPublicHealth,2010,26(12):1539-1541.(inChinese)石平,钱燕华,缪小兰,等.无锡市2009年手足口病流行特征及病原学监测分析[J].中国公共卫生,2010,26(12):1539-1541.
[7]	XuDZ,ZhangZY.Applicationofgeographicinformationsysteminenvironmentalepidemiology[J].ChineseJournalofPublicHealth,2004,20(8):1022-1024.(inChinese)徐德忠,张治英.地理信息系统及其流行病学应用[J].中国公共卫生,2004,20(8):1022-1024.
[8]	ZhuQ,HaoYT,YuSC.Epidemiologicalcharacteristicsandtemporal-spatialclusteringanalysisonhandfootandmouthdiseaseinGuangdongprovince,2008-2010[J].ModernPreventiveMedicine,2011,38(10):1824-1826.(inChinese)朱琦,郝元涛,于石成.广东省2008-2010年手足口病流行特征分析及时空聚集性研究[J].现代预防医学,2011,38(10):1824-1826.
[9]	GuoYP,WangXN,ChenQ.StudyontheriskfactorsofHFMDdeathsinHubeiprovince,2010-2012[J].ChineseJournalofChildHealthCare,2013,21(7):736-739.(inChinese)郭彦萍,王晓南,陈琦.湖北省2010-2012年手足口病死亡病例危险因素研究[J].中国儿童保健杂志,2013,21(7):736-739.
[10]	LiangHY,KangY,TaoX,etal.ResearchonepidemiologicalcharacteristicsofHFMDinGuangzhou,2008-2011[J].JournalofTropicalMedicine,2011,11(12):1410-1413.(inChinese)梁会营,康燕,陶霞,等.广州市2008-2011年手足口病流行特征动态研究[J].热带医学杂志,2011,11(12):1410-1413.
[11]	NiuWK,DingSJ,LinY,etal.EpidemiologicalstudyandclinicalanalysisofHFMDdeathsinShandongprovince,2009-2010[J].ChineseJournalofChildHealthCare,2012,20(3):263-266.(inChinese)牛文柯,丁淑军,林艺,等.山东省2009-2010年手足口病死亡病例流行病学及临床特征分析[J].中国儿童保健杂志,2012,20(3):263-266.