摘要
目的分析2019-2021年济南市开发区手足口病流行病学特征,为控制该区手足口疫情提供科学依据。方法采用描述性流行病学方法,对2019-01-01-2021-12-31中国疾病预防控制信息系统报告的济南市开发区5个街道办事处的手足口病疫情资料进行时间分布、地区分布、人群分布等分析。结果2019-2021年开发区共报告手足口病1025例,死亡0例,年均发病率为103.27/10万。2019-2021年发病率呈下降趋势(χ^(2)=93.076,P<0.001)。发病主要集中在6-11月(910例,88.78%),发病数呈单峰分布。病例主要分布在舜华路街道办事处(644例,62.83%)、遥墙街道办事处(165例,16.10%)、孙村街道办事处(123例,12.00%)等3个街道办事处,病例数占病例总数的90.93%(932/1025)。发病人群主要为散居儿童(564例,55.02%),其次为幼托儿童(386例,37.66%)。发病年龄主要在1~4岁(814例,79.41%)。男、女发病比例为1.41∶1(600/425)。实验室诊断手足口病病例共66例,3年间Cox A16型最多(45例,68.18%),其次是其他肠道病毒(13例,19.70%)。结论应加强在流行季节(6-11月)的病原学监测,及时掌握病原学的流行规律,同时应加强重点地区和重点人群的手足口病防控工作。
Objective To analyze the epidemiological characteristics of hand-foot-mouth disease(HFMD)in Jinan Development Zone from 2019 to 2021,and to provide scientific basis for the control of HFMD in the area.Methods Using descriptive epidemiological methods,the time,area and population distribution were analyzed by the epidemiological data of HFMD from January 1,2019 to December 31,2021 from China Disease Control and Prevention Information System in five sub-district offices in the Jinan Development Zone.Results From 2019 to 2021,a total of 1025 HFMD cases were reported,including 0 death,with an average annual incidence of 103.27/100000.The incidence rate showed a decreasing trend from 2019 to 2021(χ^(2)=93.076,P<0.001).The incidence was mainly concentrated from June to November(910 cases,88.78%),and the incidence was uni-modal.The cases were mainly distributed in three sub-district offices:Shunhua Road Sub-district Office(644 cases,62.83%),Yaoqiang Sub-district Office(165 cases,16.10%)and Suncun Sub-district Office(123 cases,12.00%),accounting for 90.93%(932/1025)of the total cases in the development zone.The majority of the patients were children living in scattered areas(564 cases,55.02%),followed by children in childcare(386 cases,37.66%).The age of onset was mainly 1-4 years old,accounting for 79.41%(814/1025)of the total cases.The incidence ratio of male to female was 1.41∶1(600/425).There were 66 cases of HFMD diagnosed in laboratory.Cox A16 was the most common type(45 cases,68.18%),followed by other enteroviruses(13 cases,19.70%).Conclusion In the epidemic season(June to November),pathogen surveillance should be strengthened to grasp the epidemic law of pathogens in time,and the prevention and control of HFMD should be strengthened in key areas and populations.
作者
边学峰
王可刚
黄霄
王加坤
BIAN Xue-feng;WANG Ke-gang;HUANG Xiao;WANG Jia-kun(Sub Center of High Tech Zone,Center for Disease Control and Prevention of Jinan,Jinan 256400,China)
出处
《社区医学杂志》
CAS
2022年第19期1091-1094,共4页
Journal Of Community Medicine
关键词
手足口病
流行病学
病原学
疾病控制
hand-foot-mouth disease
epidemiology
etiology
disease control
作者简介
第一作者:边学峰,男,山东淄博人,博士,副主任医师,主要从事传染病防制的研究工作。Email:xuefengbian@126.com;通信作者:王加坤,男,山东济南人,硕士,主任医师,主要从事传染病防制的研究工作。E-mail:lwwjk123@163.com
