南丹县2008—2011年手足口病流行状况分析

目的分析南丹县2008—2011年手足口病的流行病学特征,为今后防治策略的制订提供依据。方法收集该县各乡镇卫生院及县级各医疗卫生单位诊治的全部手足口病病例,采用Excel软件进行统计分析。结果 4年来该县发现手足口病患者共905例。统计结果显示,该县全年各月份均有病例出现,发病高峰为每年的4～7月份,占总病例数的68.84%。全县11个乡镇及1个矿务局和流动人口中均发现患者,全县年平均人群阳性率为74.39/10万,2008—2011年病例数分别为30例、159例、395例和321例,无死亡病例出现。0～3岁婴幼儿发病率为72.71%,男女比为2.03:1,散居儿童与托儿所儿童病例比为6.39:1。EV71和CoxA16病毒核酸抗体阳性率分别为13.04%和54.35%。结论该县手足口病患者数量在过去的几年中主要集中在3岁以下婴幼儿,发病人数变化较大,需进一步加强该病的防治,以减少婴幼儿手足口病发病率。

Epidemiology Analysis of Hand-Foot-and-Mouth Disease in 2008 to 2011 in Nandan County, Guangxi

OBJECTIVE The analysis Hand-Foot-and-Mouth-Disease （HFMD） epidemiological characteristics in 2008--2011 and for future prevention strategy formulation provides the basis in Nandan County of Guangxi. METHODS To collect each rural hospitals and municipal each health medical units treat all hand-foot-and-mouth disease cases in this county and to adopt Excel software were statistically analyzed. RESULTS There are total 905 cases were found in this city at nearly four years. The results showed that the county＇s annual each month are the patient appears, the peak incidence from April to July each year, 68.84 percent of total cases. The 11 townships and a Bureau of Mines and mobile populations are found patients, and the average annual rate of crowd 74.39/100000 in the county. The total cases respectively for 30 cases, 159 cases, 395 and 321 cases from 2008 to 2011 and no deaths occur. The 0-3 years old infant morbidity for 72.71%, men and women than for 2.03：1 and scattered children and nursery childhood onset cases than for 6.39：1, and etiology were detected 13.04% for EV71 and 54.35% for CoxA16 virus strains in cases. CONCLUSION The county HFMD patients who number in the past few years, mainly in young children under 3 years of age, the incidence of changes need to further strengthen the prevention and treatment of disease to reduce the incidence of infants and young children.