2009-2015年济南市手足口病流行特征及时空聚集性分析

发布时间：2018-02-16 05:45

  本文关键词： 手足口病 流行特征 时空聚集性 乡镇　出处：《现代预防医学》2017年08期 　论文类型：期刊论文

【摘要】：目的研究手足口病的流行病学特征,并对时空聚集性进行分析,为手足口病的重点防控工作提供依据。方法从国家疾病监测信息报告管理系统中获取济南市2009-2015年手足口病疫情资料,采用描述性流行病学方法及时空重排扫描统计方法分析手足口病病例的流行病学特征、空间分布和病原学分布特征。结果 2009-2015年济南市累计报告73 763例,年均发病率为156.83/10万。累计报告重症病例115例,死亡病例3例。全年只有1个发病高峰,最高峰出现在4-7月。病例主要分布在≤5岁儿童,占病例总数的97.22%;男女性别比为1.48∶1。病例以散居儿童为主,其次为幼托儿童和学生,分别占病例总数的59.78%、31.08%和2.84%。全市各地区发病均处于较高水平,年均发病率在20.03/10万~393.93/10万间波动;历城区、市中区和槐荫区是主要高发地区,报告病例数约占全市病例总数的50.00%。在区县尺度上有时空聚集性,总病例探测到1个时空聚类区域。全市共报告实验室诊断病例4 119例,病原学构成以肠道病毒71型(EV71)、柯萨奇病毒A16型(Cox A16)为主,分别占36.44%和33.87%。结论济南市手足口病处于高度流行态势。≤5岁散居儿童是主要发病人群,各地流行强度不同,且存在季节性变化规律。手足口病存在时空聚集性,病原学构成以EV71、CoxA16为主。
[Abstract]:Objective to study the epidemiological characteristics of hand, foot and mouth disease (HFMD), and to analyze the spatial and temporal aggregation of HFMD. Methods the epidemic data of hand foot and mouth disease from 2009 to 2015 in Jinan City were obtained from the National Disease Surveillance Information report Management system, which provided the basis for the key prevention and control work of hand, foot and mouth disease. The epidemiological characteristics, spatial distribution and etiological distribution of hand, foot and mouth disease cases were analyzed by descriptive epidemiological method and space-time rearrangement scanning statistical method. Results 73,763 cases were reported in Jinan from 2009 to 2015. The average annual incidence rate was 156.83 / 100,000. A total of 115 severe cases and 3 death cases were reported. There was only one peak in the whole year, and the highest incidence occurred in April to July. The cases were mainly distributed in children 鈮，

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