2010-2014年張家港市幼托兒童手足口病流行特征分析
發(fā)布時(shí)間:2018-01-14 08:38
本文關(guān)鍵詞:2010-2014年張家港市幼托兒童手足口病流行特征分析 出處:《現(xiàn)代預(yù)防醫(yī)學(xué)》2016年08期 論文類型:期刊論文
更多相關(guān)文章: 手足口病 流行特征 幼托機(jī)構(gòu) 預(yù)警預(yù)測(cè)
【摘要】:目的分析張家港市幼托兒童手足口病的流行特征,制定流行趨勢(shì)預(yù)警預(yù)測(cè)值,為采取針對(duì)性防控措施提供科學(xué)依據(jù)。方法對(duì)2010-2014年傳染病報(bào)告信息管理系統(tǒng)報(bào)告的張家港市幼托兒童手足口病疫情資料進(jìn)行描述流行病學(xué)分析。結(jié)果張家港市2010-2014年共報(bào)告幼托兒童手足口病病例4 041例,年均發(fā)病率2.29%,其中重癥病例28例,年均發(fā)病率15.87/10萬(wàn);男女性別比為1.57∶1,重癥病例男女性別比為2.5∶1;病原學(xué)方面EV71型腸道病毒、Co XA16型病毒和其他腸道病毒感染所占比例分別為38.81%、29.85%和31.34%;發(fā)病主要以3~4歲兒童為主,共2 714例,占發(fā)病總數(shù)的67.16%。重癥病例也是3~4歲為主,共23例,占重癥病例總數(shù)的82.14%;發(fā)病時(shí)間曲線有兩個(gè)明顯的高峰和低谷,報(bào)告發(fā)病數(shù)增減的趨勢(shì),與幼托兒童在校、放假的時(shí)間有明顯的關(guān)聯(lián)性。結(jié)論張家港市幼托兒童手足口病發(fā)病存在明顯的時(shí)間和年齡分布特征,在常規(guī)防控措施的基礎(chǔ)上,應(yīng)加強(qiáng)幼托機(jī)構(gòu)健康宣教的力度,培養(yǎng)幼托兒童良好的衛(wèi)生習(xí)慣。
[Abstract]:Objective to analyze the epidemic characteristics of hand, foot and mouth disease (HFMD) among young children in Zhangjiagang City, and to establish the predictive value of epidemic trend. Methods the epidemic data of hand, foot and mouth disease of young children in Zhangjiagang City from 2010 to 2014 were analyzed by descriptive epidemiology. Results A total of hand, foot and mouth disease cases of young children were reported in Zhangjiagang city from 2010 to 2014. 041 cases. The annual incidence rate was 2.29%, of which 28 were severe cases, with an average annual incidence rate of 158.7% to 100,000; The ratio of male to female was 1.57: 1, and that of severe cases was 2.5: 1; In etiology, the proportion of EV71 enterovirus type Co XA16 virus and other enterovirus infection was 38.81% and 31.34%, respectively. The incidence was mainly in children aged 3 to 4 years, accounting for 2714 cases, accounting for 67.16% of the total incidence. Severe cases were mainly 3 or 4 years old, 23 cases, accounting for 82.14% of the total number of severe cases. The onset time curve has two obvious peaks and troughs, reporting the increasing and decreasing trend of incidence with young children in school. Conclusion the incidence of hand, foot and mouth disease of young children in Zhangjiagang city has obvious time and age distribution characteristics, on the basis of routine prevention and control measures. It is necessary to strengthen health education in nursery care institutions and cultivate good hygiene habits of young children.
【作者單位】: 張家港市疾病預(yù)防控制中心;
【分類號(hào)】:R725.1;R181.3
【正文快照】: 自上世紀(jì)80年代起,世界范圍內(nèi)重癥[6-8]手足口病爆發(fā)的廣泛報(bào)道使其防控成為公共衛(wèi)生領(lǐng)域的重要課題,而在亞太地區(qū)尤其如此[1-2]。手足口病在我國(guó)呈現(xiàn)高發(fā)態(tài)勢(shì),成為危害兒童身體健康的一種常見傳染病[3]。該病傳染性強(qiáng),傳播途徑廣,而學(xué)齡前兒童還處于生長(zhǎng)發(fā)育階段,免疫系統(tǒng)發(fā)
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