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目的分析2009年青海省手足口病流行病学特征,为手足口病的防控工作提供依据。方法整理青海省2009年手足口病疫情监测数据资料,采用描述性流行病学方法对手足口病三间分布进行分析。结果青海省2009年共报告手足口病例2436例,报告发病率为43.95/10万,全省全年未报告重症以及死亡病例。手足口病病例主要分布在青海省东部地区,一年四季均有发病,6月为发病高峰,以托幼和散居儿童发病较多,发病最多的年龄为3岁,男性多于女性。病原学监测结果肠道病毒71型阳性率57.73%,柯萨奇病毒A组16型阳性率为42.27%。结论青海省手足口病的发生具有明显的地区、季节、年龄、性别差异,2009年引起儿童手足口病的病原体为肠道病毒71型与柯萨奇病毒A组16型,肠道病毒71型略占优势。
Objective To analyze the epidemiological characteristics of hand, foot and mouth disease in Qinghai Province in 2009 and provide basis for the prevention and control of hand, foot and mouth disease. Methods The monitoring data of hand-foot-mouth disease in 2009 in Qinghai Province were collected and the distribution of hand-foot-mouth disease was analyzed by descriptive epidemiology. Results In 2009, 2436 cases of hand, foot and mouth were reported in Qinghai Province. The reported incidence rate was 43.95 / 100000. No severe cases and deaths were reported in the whole province. Hand-foot-mouth disease cases are mainly distributed in the eastern region of Qinghai Province, the incidence of all year round, peaked in June, to nursery and scattered children more incidence, the incidence of the most age 3 years old, more men than women. The results of pathogen detection showed that the positive rate of enterovirus 71 was 57.73%, the positive rate of coxsackievirus A 16 was 42.27%. Conclusion The occurrence of HFMD in Qinghai Province is obviously different from other regions in terms of age, sex and gender. In 2009, the pathogens causing HFMD in children were Enterovirus 71, Coxsackievirus A Group 16, Enterovirus 71 A slight advantage.