广西环江毛南族自治县2008～2012年手足口病流行病学特征分析

目的：分析广西环江毛南族自治县近年手足口病流行特征，为当地进一步的防治提供参考。方法从该县《国家疾病监测信息报告管理系统》收集2008～2012年各乡镇各医疗单位手足口病病例疫情报告，采用Excel软件进行统计分析。结果该县的12个乡镇卫生院5年中报告当地居民及流动人口手足口病病例共3114例，死亡病例共8例，年发病率在12.46/10万到457.06/10万之间，年均发病率为165.12/10万，病例数有逐年增多的趋势。当地手足口病的流行高峰期在4～7月份，占总病例数的81.28%。全县各乡镇均有病例报告，其中6个乡镇病例占总病例数的77.91%，病例以散居儿童为主占91.46%。病原学监测EV71占54.76%，CoxA16占19.05%，其他肠道病毒占26.19%。结论加强该县手足口病流行高峰期重点乡镇散居儿童的防治应是其防治工作重点，预防病例数逐年地增多。

Analysis on epidemiological characteristics of hand-foot-and-mouth disease in Huanjiang Monan Autonomous County of Guangxi Zhuang Autonomous Region from 2008 to 2012

Objective To analyze the epidemiological characteristics of hand-foot-and-mouth disease（HFMD） in Huanjiang Monan Autonomous County of Guangxi Zhuang Autonomous Region in recent years, in order to provide reference for the local further prevention and control. Methods The HFMD epidemic reports from the each township medical units from 2008 to 2012 were collected through the county＇s the “National Disease Surveillance Information Reporting Management System”, and the statistical analysis was done by using Excellsoftware. Results The epidemic reports from 12 township hospitals in the county in the past five years showed that there were 3114 HFMD cases and 8 death cases in the local residents and migrants, the annual incidence rate ranged from 12.46/100,000 to 457.06/100,000, the average annual incidence rate was 165.12/100,000 and the number of cases had a trend of increasing year by year. The local HFMD epidemic peak ranged from April to July and there were 81.28% of the total number of cases. The cases had been reported in each township, in which the number of cases in six townships accounted for 77.91% of the total number of cases, and the scattered children were the main cases which accounted for 91.46%. The EV71, CoxA16 and other enteric viruses in the pathogen monitoring accounted for 54.76%, 19.05% and 26.19% respectively. Conclusion Strengthening the prevention and control of scattered children in key townships of the county in HFMD epidemic peak should be the focus on the prevention and control, and preventing the number of cases increasing year by year.