余姚市2008—2010年手足口病流行病学分析

目的了解浙江省永嘉县手足口病病例及病原分布情况，为预防保健工作提供科学依据。方法采用永嘉县疾病监测信息报告管理系统收集2008—2016年该县手足口病例资料，分析手足口病发病的时间、年龄、性别及病原体的分布特点。结果2008—2016年累计报告手足口病病例27 815例，发病时间呈双峰变化，以春末夏初季节及秋季为多；男性发病人数高于女性；年龄集中于1 ~5岁孩子，尤以1 ~3岁幼儿发病最多；各年份检出病原体除2011年EV71占优势(59.62%)外，近几年均以其他肠道病毒为主，2015和2016年EV71病毒在检出病原中已经下降到10%以下。结论该县手足口病呈一定的季节性，1 ~5岁孩子高发，近年EV71构成比呈下降趋势。

Enteroviruses in Tunisia:virological surveillance over 12 years(1992-2003)

ObjectiveTo investigate the cases of hand, foot and mouth disease (HFMD) and its pathogen distribution in Yongjia County, Zhejiang Province, and to provide scientific basis for prevention and health care work against HFMD.MethodsYongjia County disease surveillance information reporting system was used to collect data on HFMD cases in 2008—2016.The seasonal characteristics of the disease in relation to age of onset, sex difference and pathogen distribution were analyzed.ResultsA total of 27 815 cases of HFMD were reported in Yongjia County between 2008 and 2016.The onset time showed to be bimodal, reaching peaks in early summer and in autumn.The incidence in male was higher than that in female.The age distribution was concentrated in children at the age of 1 ~5, especially at 1 ~3.Except for the predominance of EV71 (59.62%) in 2011, now other enteroviruses were in dominance in recent years.The ratio of EV71 to all detected enteroviruses was down to less than 10% in 2015 and 2016.ConclusionThe epidemic status for HFMD shows the seasonal phenomenon in Yongjia country.The age distribution in patients was concentrated in childten at 1 ~5.The ratio of EV71 to all the detected enteroviruses declined in recent years.