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[目的]分析宁夏手足口病流行特征及流行因素,为制定有效的防控策略提供依据。[方法]采用描述性流行病学分析方法对宁夏手足口病发病资料进行分析。[结果]2008年5月～2010年6月共报告病例11123例,其中重症病例24例,死亡2例;全区各县区均有发病,兴庆区发病率最高,为679.55/10万;发病主要集中在5～10月;男女性别比为1.60︰1;5岁以下儿童发病占90.31%,以散居儿童和托幼儿童为主。实验室检测EV71和CA16是引起我区手足口病的主要病原体。全区共报告10例以上的手足口病暴发疫情16起,均发生在幼儿园,14起检出肠道病毒阳性,其中10起为EV71阳性。[结论]手足口病的发生存在明显季节性及地区、性别、年龄差异,且疫情处于上升状态,应加强对手足口病的健康教育及对农村偏远地区和城镇托幼机构的疫情监测力度,同时提高医疗机构对手足口病重症病例的诊断及救治能力。
[Objective] To analyze the epidemic characteristics and epidemic factors of hand-foot-mouth disease in Ningxia and provide evidence for effective prevention and control strategies. [Methods] Descriptive epidemiological analysis was used to analyze the incidence of HFMD in Ningxia. [Results] A total of 11 123 cases were reported from May 2008 to June 2010, of which 24 cases were severe and 2 died. The incidence in all districts and counties in the whole district was the highest, with the highest incidence in Xingqing District being 679.55 / 100 000. The incidence mainly concentrated in May to October; male to female ratio was 1.60︰1; the incidence of children under 5 years accounted for 90.31%, mainly to diaspora and kindergarten children. Laboratory tests EV71 and CA16 are the main cause of HFMD in our area. A total of 10 outbreaks of hand, foot and mouth disease were reported in the district, of which 16 occurred in kindergarten and 14 were positive for enterovirus infection, of which 10 were EV71 positive. [Conclusion] The occurrence of hand-foot-mouth disease is obviously seasonal and the difference of region, sex and age, and the epidemic situation is on the rise. Health education of hand-foot-mouth disease should be strengthened and epidemic situation monitoring should be strengthened in remote rural areas and town nurseries. At the same time improve the diagnosis and treatment of severe cases of hand, foot and mouth disease in medical institutions.