摘要
目的调查十堰市手足口病(HFMD)流行特征及规律,为制定防控措施提供科学依据。方法采用描述流行病学方法,对十堰市2008—2012年HFDM流行病学资料进行整理和分析。结果 2008—2012年共报告HFDM病例15 500例,重症病例9例,死亡1例;不同年份发病率差异有统计学意义(χ2=2 635.414,P<0.01)。不同县市区年均发病率差异有统计学意义(χ2=8 211.234,P<0.01)。发病主要集中在4—6月份,占总病例数的51.19%。患者男女之比为1.64∶1;男女发病构成比差异有统计学意义(χ2=27.600,P<0.01)。病例以4岁及以下儿童为主,共14 255例,占91.97%。职业以散居儿童为主,为10 405例,占67.13%。结论十堰市HFDM发生存在明显的季节性、地区性,应以城区4岁及以下散居儿童为重点防控人群,积极开展健康教育,加强疫情监测和处置力度。
[ Objective ] To understand the epidemiological characteristics and regularity of hand foot and mouth disease （ HFMD） in Shiyan City, provide scientific basis for prevention and control measures. [ Methods ] The descriptive epidemiological method was used to collect and analyze the epidemiological data of HFMD cases in Shiyan City from 2008-2012. [ Results] A total of 15 500 HFMD cases were reported in Shiyan City from 2008-2012, which included 9 severe cases and 1 death case, and there was a signif- icant difference in annual incidence rate （ x2 = 2 635. 414,P 〈 0.01 ）. The difference in average annual incidence rate was signifi- cant among different counties/cities/districts （X2 = 8 211. 234,P 〈 0.01 ）. The peak season was April-June, which the cases ac counted for 51.19% of the total cases. The male-to-female ratio was 1.64： 1, and there was a significant difference in constitute ra tio between men and women （X2 = 27. 600, P 〈 0.01 ）. 14 255 cases were children under 4 years old, accounting for 91.97%, while 10 405 cases were scattered children, accounting for 67.13%. [ Conclusion] The epidemic situation of HFMD has obvious seasonal and regional characteristics in Shiyan City. The prevention and control should focus on the scattered children under 4 years old in urban area, meanwhile, it is necessary to actively carry out health education, and strengthen the monitoring and disposal of epidemic situation.
出处
《职业与健康》
CAS
2014年第5期649-651,共3页
Occupation and Health
关键词
手足口病
流行病学
发病率
十堰市
Hand foot and mouth disease （ HFMD ）
Epidemiology
Incidence rate
Shiyan City
