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目的:全面、准确了解通江县手足口病流行病学及病原学分布特征,给上级主管部门制订并落实有效的防控策略和措施提供科学依据。方法:采用Excel2003进行数据处理,采用描述流行病学进行手足口病流行病学及病原学分布特征分析。结果:2010~2013年通江县手足口病年均发病率、死亡率、病死率分别为62.19/10万、0.11/10万和0.18%,2013年发病率高达142.80/10万,较前三年均显著上升。手足口病各月均可发病,以春夏季发病为主(77.51%);人口密集度大、流动人口较多的乡镇尤其是诺江镇(50.73%)为高发地区;男性发病居多(61.19%);以1~2岁儿童为主要发病人群(53.83%);以散居儿童发病居多(68.38%)。肠道病毒EV71是病例感染的主要病原体(62.20%)。结论:2010~2013年通江县手足口病疫情总体呈上升趋势,应当进一步加强落实健康教育、疫情监测报告、聚集性病例早期预警与处置、病例及重症病例救治、监督检查等综合性防控措施。
OBJECTIVE: To comprehensively and accurately understand the epidemiological and etiological characteristics of hand-foot-mouth disease in Tongjiang County and provide scientific basis for the formulation and implementation of effective prevention and control strategies and measures by higher-level authorities. Methods: The data was processed by Excel2003. Epidemiology was used to characterize epidemiology and etiology distribution of HFMD. Results: The average annual morbidity, mortality and mortality rate of HFMD in Tongjiang County from 2010 to 2013 were 62.19 / 100000, 0.11 / 100000 and 0.18%, respectively. The incidence rate in 2013 was 142.80 / 100000, Average annual increase significantly. Hand, foot and mouth disease can occur each month, mainly in spring and summer (77.51%); towns with densely populated and migrant population, especially in Nujiang Town (50.73%) are high incidence areas; most of them are male (61.19% ); Children aged 1-2 years as the main disease group (53.83%); the incidence of scattered children (68.38%). The enterovirus EV71 is the major pathogen of case infection (62.20%). Conclusion: The epidemic situation of hand-foot-mouth disease in Tongjiang County is generally on an upward trend from 2010 to 2013. Comprehensive prevention and control measures such as health education, epidemic situation monitoring report, early warning and disposal of aggregated cases, treatment and treatment of cases and severe cases should be further strengthened Measures.