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目的了解福建省大田县手足口病流行特征,为制定防控措施提供依据。方法采用描述流行病学方法,对大田县2010年法定传染病报告系统的手足口病疫情资料进行分析。结果 2010年全县共报告手足口病病例120例,发病率为33.82/10万,其中重症7例,死亡1例;疫情呈散发态势,分布于全县15个乡镇,发病率以太华镇最高(84.11/10万),文江乡最低(10.00/10万);构成比以均溪镇最高(32.5%),前坪乡最低(0.83%)。每月均有疫情报告,全年以5—7月为发病高峰。发病率男女性别比为1:0.24,以散居儿童(75.0%)、幼托儿童(20.8%)为主,高发人群年龄为0～3岁(95.8%),实验室确诊22例,其中EV71型肠道病毒感染占72.73%(16/22)。结论手足口病已成为严重危害我县低年龄组儿童身体健康和生命安全的重要公共卫生问题之一,必须加强疫情主动监测和卫生宣教培训等防控措施。
Objective To understand the epidemiological characteristics of hand-foot-mouth disease in Datian County, Fujian Province, and to provide the basis for making prevention and control measures. Methods Descriptive epidemiological methods were used to analyze the epidemic data of hand foot and mouth disease in Dazan County’s statutory Infectious Diseases Reporting System in 2010. Results In 2010, a total of 120 HFMD cases were reported in the county, with a prevalence of 33.82 / 100 000, of which 7 were severe and 1 died. The epidemic was distributed in 15 townships in the county with the highest incidence in Taihua Town (84.11 / 100000), Wenjiang Township lowest (10.00 / 100000); the ratio is the highest in Junxi (32.5%) and the lowest in Qianping (0.83%). There are reports of epidemics every month, peaked in May-July throughout the year. The prevalence rate was 1: 0.24 for male and female, with scattered children (75.0%) and child care children (20.8%). The high incidence population was 0-3 years old (95.8%) and laboratory confirmed 22 cases. EV71 Enterovirus infection accounted for 72.73% (16/22). Conclusion Hand, foot and mouth disease has become one of the most important public health problems that seriously endanger the health and life safety of children in the low age group in our county. It is necessary to strengthen prevention and control measures such as active monitoring of epidemic situation and training in public health education.