2012-2016年上海市松江区手足口病流行病学及病原学特征分析

发布时间：2018-05-13 05:21

本文选题：手足口病 + 流行病学　；参考：《现代预防医学》2017年18期

【摘要】：目的分析上海市松江区手足口病流行病学及病原学特征,为开展手足口病科学防制提供依据。方法自国家疾病预防控制信息系统收集松江区2012-2016年手足口病监测资料,采用描述流行病学方法进行分析。结果 2012-2016年,松江区累计报告手足口病病例24 292例,重症病例90例,死亡病例1例,年均发病率为282.43/10万。松江区手足口病发病呈现双峰分布,4-7月为主高峰,11-12月为次高峰。松江区各街镇均有病例报告,主要集中在九亭镇、泗泾镇、新桥镇等城郊结合部;男性发病高于女性,性别比为1.54∶1;普通病例以5岁及以下儿童为主(89.10%),重症病例以3岁以下儿童为主(87.78%)。2012-2016年,松江区共报告手足口病确诊病例908例,EV71、CA16及其他肠道病毒阳性率分别为22.69%、43.39%、33.92%;重症病例EV71阳性率为95.40%。结论松江区手足口病发病呈现明显的季节、地域及人群分布特征,且不同年份优势病原存在交替变化。应继续加强松江区手足口病疫情及病原学监测,为进一步制订手足口病防控措施奠定数据基础。
[Abstract]:Objective to analyze the epidemiological and etiological characteristics of HFMD in Songjiang District, Shanghai, and to provide evidence for the scientific prevention and control of HFMD. Methods the surveillance data of HFMD from 2012 to 2016 in Songjiang District were collected from the National Disease Prevention and Control Information system and analyzed by descriptive epidemiological method. Results from 2012 to 2016, 24 292 hand-foot-mouth disease cases, 90 severe cases and 1 death case were reported in Songjiang District, with an average annual incidence of 2,82.43 / 100 million. The incidence of HFMD in Songjiang area showed a bimodal distribution. Cases were reported in every street town in Songjiang District, mainly concentrated in the suburbs of Jiuting Town, Sijing Town, Xinqiao Town, etc. The incidence rate of male was higher than that of female. The sex ratio is 1.54: 1; the common cases are mainly children aged 5 years and under 5 years old, and the most serious cases are children under the age of 3 years. The positive rates of EV71 CA16 and other enterovirus in 908 confirmed cases of hand, foot and mouth disease in Songjiang District were 22.69 and 43.39 respectively, and the positive rate of EV71 in severe cases was 95.40 and 33.92, respectively. Conclusion the incidence of HFMD in Songjiang area showed obvious seasonal, geographical and population distribution characteristics, and the dominant pathogens changed alternately in different years. The epidemic situation and etiology surveillance of HFMD in Songjiang district should be strengthened to lay a data base for further establishment of HFMD prevention and control measures.
【作者单位】：上海市松江区疾病预防控制中心;
【分类号】：R181.3;R725.1

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