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目的掌握眉山市手足口病流行规律,有针对性地提出防治措施建议。方法对国家疾病监测信息系统中眉山市手足口病资料及实验室检测结果进行分析。结果眉山市2011年报告发病3 469例,其中重症病例51例,死亡3例,年报告发病率117.57/10万,重症发生率为1.47%,报告发病率居全市报告法定传染病首位,占发病总数的31.34%;5岁以下儿童发病数占发病总数的94.16%,其中1～2岁组的发病数最多,占发病总数的61.06%,幼托儿童和散居儿童病例数分别占总数的38.11%和58.26%。4季均发病,5-6月及11月分别呈大小双峰,优势病原体为EV71。结论眉山市2011年手足口病报告发病率较高,应加强疫情监测,严格医疗机构传染病预检分诊、托幼机构晨午检和缺课追因制度,加大重点场所、人群的健教宣传力度,提高群众防控意识,防控工作重点为散居和幼托儿童。
Objective To grasp the epidemic law of hand, foot and mouth disease in Meishan City and put forward some suggestions on prevention and cure measures. Methods The data of hand-foot-mouth disease and laboratory test results in the National Disease Surveillance Information System were analyzed. Results Meishan reported 3 469 cases in 2011, of which 51 cases were severe and 3 died, the annual incidence was 117.57 / 100 000, and the incidence of severe was 1.47%. The reported incidence was the highest in the whole city, accounting for the most The incidence of children under 5 accounted for 94.16% of the total number of cases, of which 1 to 2 years old group the highest incidence, accounting for 61.06% of the total number of cases, the number of cases of preschool children and diaspora accounted for the total number of 38.11% And 58.26%. 4 season average incidence, 5-6 months and November were size double peaks, the dominant pathogen EV71. Conclusion The reported incidence of hand-foot-mouth disease in Meishan City in 2011 is high. Disease surveillance should be strengthened. Pre-screening for infectious diseases in medical institutions should be strengthened. The morning and afternoon check-ups and absenteeism system should be stepped up. Key health education should be strengthened. Publicity efforts to raise public awareness of prevention and control, prevention and control work focused on diaspora and kindergarten children.