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目的了解衢州市手足口病疫情流行特征,为制定防控措施提供参考依据。方法采用描述性流行病学方法对2008-2010年报告的手足口病病例进行分析。结果 2008-2010年衢州市共报告手足口病9568例,年均发病率为128.18/10万。柯城区年均发病率最高(272.17/10万),江山市最低(51.41/10万)。男性发病高于女性,以散居儿童和幼托儿童为主,集中于0～5岁儿童,占95.80%。2008年和2010年4-7月为发病高峰,2009年除4-7月外,10-12月为另一个发病高峰。病原学监测结果显示2009年以Cox A16型病毒为主,2008年和2010年以EV71为主。结论衢州市手足口病发生有明显的年龄、性别、职业和季节差异,不同年份的流行毒株不同,患儿可重复感染。
Objective To understand the epidemic characteristics of hand-foot-mouth disease in Quzhou and to provide a reference for making prevention and control measures. Methods Descriptive epidemiological methods were used to analyze HFMD cases reported in 2008-2010. Results A total of 9568 HFMD cases were reported in Quzhou from 2008 to 2010, with an average annual incidence of 128.18 / 100 000. Kecheng District the highest annual average incidence (272.17 / 100,000), Jiangshan lowest (51.41 / 100,000). The incidence of males was higher than that of females, with scattered children and preschool children mainly concentrated in children aged 0 ~ 5 years, accounting for 95.80%. 2008 and 2010 April to July peak incidence in 2009 in addition to 4-7 months, 10-12 months for another peak incidence. The etiological surveillance results showed that Cox A16 virus was the main source in 2009 and EV71 mainly in 2008 and 2010. Conclusion Hand, foot and mouth disease in Quzhou City has obvious age, sex, occupation and season differences. The epidemic strains in different years are different and the children can be repeatedly infected.