江阴市2010年手足口病重症病例流行病学特征分析

目的了解辖区内手足口病(hand-foot-and-mouth disease,HFMD)重症病例的流行病学特征,为制定干预措施提供依据。方法对2010年所有手足口病重症病例进行流行病学个案调查,并对调查资料进行流行病学分析。结果 2010年江阴市手足口病报告发病1300例,发病率67.32/10万,重症40例,重症发生率3.08%,死亡1例,病死率为0.08%。乡镇重症病例报告病率差异有统计学意义(P<0.001)。辖区手足口病重症病例发病高峰为5～7月,年龄以5岁以下婴幼儿为主,病原以EV71感染为主。结论江阴市手足口病防控形势严峻,手足口病的发生有明显的年龄、季节和地区差异。对来自重点地区5岁以下年龄组手足口病患者应提高警惕,及早救治,加强健康教育宣传,同时加强手足口病监测工作和疾病负担调查工作。

Analysis on epidemiological characteristics of severe cases of hand-and-foot-mouth disease in 2010 in Jiangyin

Objective To understand the epidemiological characteristics of severe hand-foot-and-mouth disease(HFMD),and provide basis for intervention measures.Method Investigate all severe cases of HFMD in 2010 and do epidemiological analysis on the survey datas.Results A tatal of 1 300 HFMD cases were reported with the incidence rate of 67.32/100 000.40 cases of severe were reported with the severe incidence rate of 3.08%.1 died and the case fatality rate was 0.08%.There were statistical significant differences of the report disease rate of severe HFMD cases among the counties(P<0.001).The peak of severe HFMD was from May to July,most of them were less than 5 years old,and the main pathogen was EV71 infection.Conclusions The prevention situation of HFMD was serious in Jiangyin.Incidence were different among ages,seasons and places.The children under 5 years old from key regions should be on the alert with early treatment and health education propaganda.At the same time,we should strengthen surveillance and disease burden research on HFMD.