2007-2015年北京市手足口病的流行病学特征分析

发布时间：2018-02-24 15:45

本文关键词： 手足口病流行特征肠道病毒　出处：《现代预防医学》2017年15期 　论文类型：期刊论文

【摘要】：目的分析2007-2015年北京市手足口病的流行病学及病原学特征,为手足口病的防控提供科学依据。方法利用描述流行病学方法对2007-2015年北京市手足口病监测资料进行统计分析。结果 2007-2015年北京市累计报告手足口病278 577例,重症1 759例,死亡38例,手足口病年均发病率为164.07/10万,发病高峰集中于5-7月份,年均报告发病率居前5位的区为通州区、昌平区、大兴区、丰台区及顺义区;报告发病以5岁及以下儿童为主,占手足口病报告总数的90.07%;职业分布以散居儿童和幼托儿童为主,分别占发病总数的52.18%和40.79%;共报告手足口病实验室确诊病例14 380例,其中柯萨奇病毒A16型(Cox A16)、肠道病毒71型(EV71)和其他肠道病毒分别占37.30%、34.04%和28.80%。结论北京市手足口病发病呈高发态势,手足口病的时间、地区及人群分布特征明显,优势病原分型构成发生变化,手足口病防控工作仍面临较大压力。
[Abstract]:Objective to analyze the epidemiological and etiological characteristics of hand, foot and mouth disease (HFMD) in Beijing from 2007 to 2015. Methods the surveillance data of hand-foot-mouth disease in Beijing from 2007 to 2015 were statistically analyzed by descriptive epidemiological method. Results 278,577 cases of HFMD and 1,759 cases of severe disease were reported in Beijing from 2007 to 2015. 38 cases died, the average annual incidence of HFMD was 164.07 / 100 000, and the peak of incidence was concentrated in May and July. Tongzhou District, Changping District, Daxing District, Fengtai District and Shunyi District were the top 5 regions with annual reported incidence rate in Tongzhou District, Changping District, Daxing District, Fengtai District and Shunyi District. The reported incidence was mainly children under 5 years old, accounting for 90.07% of the total reported cases of hand-foot-mouth disease, and the occupational distribution was mainly for scattered children and young care children, accounting for 52.18% and 40.79% of the total incidence, respectively. A total of 14,380 laboratory confirmed cases of hand-foot-mouth disease were reported. Coxsackie virus A16 (Coxsackievirus A16), enterovirus 71 (EV71) and other enterovirus accounted for 37.30% and 28.80%, respectively. Conclusion Hand-foot-mouth disease has a high incidence in Beijing, and the time, region and population distribution of HFMD are obvious. The composition of dominant pathogen types changed, and the prevention and control of hand, foot and mouth disease still faced great pressure.
【作者单位】：北京市疾病预防控制中心;北京市预防医学研究中心;
【基金】：北京市自然科学基金资助项目(项目编号:7142038)
【分类号】：R181.3;R725.1

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