厦门市1起非流行季节手足口病爆发疫情的调查处置

目的分析非流行季节手足口病暴发疫情的特点,并对疫情干预效果进行评价。方法对发病儿童和健康儿童进行流行病学调查,并采集标本进行实验室检测核实病原体,查找可能的致病因素。结果本次爆发疫情共11人发病,罹患率为61.1%（11/18）,病原体为CoxA16,危险因素为病例未能及时发现并隔离,班级布局设置不合理。结论厦门地区在冬季也可出现手足口病爆发疫情,在各种综合措施的干预下,疫情可以得到较好的控制。

Investigation of and countermeasures against an outbreak of hand-foot-mouth disease in Xiamen City during non-epidemic season

Objective To explore the characteristics of hand-foot-mouth disease outbreak in non-epidemic season,and evaluate the effect of the intervention against the epidemic. Methods An epidemiological investigation was conducted among the children with hand-foot-mouth disease and healthy children.The samples were collected for laboratory assay to identify the type of pathogen and to find out the possible factors of causing the disease. Results There were 11 cases of hand-foot-mouth disease in the outbreak and the attack rate was 61.1%（11/18）.The pathogen was identified as CoxA16,and the risk factors were the absence of timely detection and isolating the first case,and the structure of school was inappropriate. Conclusions The hand-foot-mouth disease outbreak also can exist in Xiamen during the winter.The epidemic could be better controlled in the presence of various interventions.