摘要
目的了解洛阳市老城区2016-2020年手足口病流行特征和聚集性病例的分布,为进一步做好手足口病的防控和聚集性疫情的处置提供参考依据。方法对老城区2016-2020年手足口病疫情资料和聚集疫情进行流行病学分析。结果2016-2020年老城区共报告手足口病1784例,年发病率为198.73/10万,2016年发病率最高,为385.30/10万。426例病例进行病原学检查,阳性324例,阳性率为76.06%,主要病毒包括其他肠道病毒(53.70%)、EV71(29.32%)和CoxA16(16.98%);重症55例,占总病例数的3.08%,无死亡病例。呈明显的季节性,1月发病率最低,4月发病开始上升,5、6月达到高峰,7月开始下降;年龄以≤5岁散居儿童为主;流动人口密集的邙山办事处和道北办事处发病数居前2位;聚集疫情主要发生在幼托机构(52.05%)和家庭(47.95%),幼儿园聚集疫情发生呈下降趋势。结论老城区2016-2020年手足口病发病有明显的季节性、地区性和人群特征,今后应加强流动人口和散居儿童密集地区的手足口病防控工作;社区应加大对患儿的居家隔离管理工作,减少聚集疫情的发生。
Objective To understand the epidemic characteristics of hand-foot-and-mouth disease and the distribution of aggregated cases in Laocheng area of Luoyang City from 2016 to 2020,so as to provide reference basis for further prevention and control of hand-foot-and-mouth disease and disposal of aggregated epidemic situation.Methods Epidemiological analysis was conducted on the epidemic data of hand-foot-and-mouth disease and aggregated epidemic situation in Laocheng area of Luoyang City from 2016 to 2020.Results In 2016 to 2020,1784 cases of hand-foot-and-mouth disease were reported in Laocheng area.The annual incidence rate was 198.73/10 million,and the incidence rate was the highest in 2016,385.30/10 million.426 cases were examined by etiology,324 cases were positive,and the positive rate was 76.06%.The main viruses included other enteroviruses(53.70%),EV71(29.32%)and CoxA16(16.98%).There were 55 severe cases,accounting for 3.08%of the total cases,and there were no deaths.The incidence rate was the lowest in January,and the incidence began to increase in April,reaching the peak in May and June,and began to decline in July.The age was mainly scattered children≤5 years old.Mangshan subdistrict office and Daobei subdistrict office with dense floating population rank among the top two.The cluster epidemic mainly occurred in kindergartens(52.05%)and families(47.95%),and the cluster epidemic in kindergartens showed a downward trend.Conclusions The incidence of hand-foot-and-mouth disease in Laocheng area from 2016 to 2020 has obvious seasonal,regional and population characteristics.In the future,the prevention and control of hand-foot-and-mouth disease in areas with floating population and scattered children should be strengthened.The community should increase the home isolation management of children and reduce the occurrence of aggregated epidemic.
作者
高亚军
王梦柯
GAO Ya-jun;WANG Meng-ke(Department of Infectious Disease Control,Laocheng Area of Luoyang Center for Disease Control and Prevention,Luoyang 471002,China)
出处
《社区医学杂志》
CAS
2022年第2期70-73,共4页
Journal Of Community Medicine
关键词
手足口病
流行病学特征
聚集疫情
洛阳市
hand-foot-and-mouth disease
epidemiological characteristics
gathering epidemic situation
Luoyang City
作者简介
通信作者:高亚军,女,河南洛阳人,副主任医师,主要从事传染性疾病控制的研究工作。E-mail:Lygaoyajun@126.com
