2006～2009年章丘市手足口病疫情分析

[目的]探讨手足口病疫情特点,为防控工作提供依据。[方法]对2006～2009年章丘市手足口病疫情资料进行分析。[结果]2006～2009年累计报告手足口病1020例,年均发病率为25.43/10万。年发病率,2006～2009年分别为2.20/10万、15.37/10万、13.04/10万、70.90/10万。1020例病例中,临床诊断病例988例,实验室确诊病例32例;重症病人5例,无死亡病例。2006～2009年年均发病率,南部山区、中西及东部丘陵、北部平原地区分别为18.03/10万、25.14/10万、30.88/10万,城区农村分别为8.07/10万、27.46/10万;男性、女性分别为32.15/10万、18.78/10万,0～5岁、6～9岁、10～54岁分别为345.01/10万、38.08/10万、0.52/10万。1020例病人中,4～8月发病的占83.63%,0～5岁儿童占91.47%,散居儿童与托幼儿童分别占64.41%、31.57%;发生聚集性疫情35起,其中村办托幼机构11起,占31.43%。检测98例病人的粪便标本,EV71病毒核酸阳性的15例,Cox16病毒核酸阳性的3例,其他肠道病毒核酸阳性的14例。[结论]章丘市手足口病疫情逐年增高,应加强宣传教育和疫情监测,加强托幼机构为重点场所的管理,做好以粪便为重点的环境治理,落实综合性防治措施控制疫情。

Analysis on Epidemic of Hand,Foot and Mouth Disease in Zhangqiu City,2006-2009

[Objective] To explore characteristics of hand,foot and mouth disease epidemic,so as to provide the basis for the prevention and control.[Methods]Analysis was made on HFMD epidemic data in Zhangqiu,2006-2009.[Results]A total of 1 020 HFMD cases were reported from 2006 to 2009,the annual average incidence rate was 25.43/105.The annual incidence rate from 2006 to 2009 was 2.20/105,15.37/105,13.04/105,and 70.90/105.988 cases were clinically diagnosed cases out of 1 020 cases,32 cases were laboratory-confirmed cases;5 were critically ill cases,with no deaths.The average annual incidence rate from 2006 to 2009,in the southern mountains,western and eastern hills,the northern plains was 18.03/105,25.14/105,and 30.88/105 respectively,8.07/105 and 27.46/105 in urban and rural areas,respectively;32.15/105 and 18.78/105 respectively among males and females;345.01/105,38.08/105,and 0.52/105 among 0 to 5,6 to 9,and 10 to 54 age groups.Among 1 020 cases,those from April to August accounted for 83.63%,0 to 5 years old children accounted for 91.47%,and scattered children and kindergarten children accounted for 64.4%,31.57%;35 were aggregated cases,11 in village nurseries,accounting for 31.43%.98 stool samples were detected,EV71 virus nucleic acid positive in 15 cases,Cox16 virus nucleic acid positive in 3,other gastro-intestinal virus RNA-positive in 14.[Conclusion]The HFMD epidemic is increasing year by year in Zhangqiu city,publicity,education and disease surveillance should be strengthened,focus should be laid on nurseries management,as well as on stool environmental governance,implementation of comprehensive prevention and control measures to control epidemic.