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邓红, 张璇, 阿依古丽·伊尔哈力, 樊旭成, 朱建疆, 张瑾, 吴海燕, 杨玉玲, 马玉霞, 马合木提, 李新兰. 新疆2008-2013年手足口病流行病学及病原学特征[J]. 中国公共卫生, 2016, 32(1): 38-41. DOI: 10.11847/zgggws2016-32-01-12
引用本文: 邓红, 张璇, 阿依古丽·伊尔哈力, 樊旭成, 朱建疆, 张瑾, 吴海燕, 杨玉玲, 马玉霞, 马合木提, 李新兰. 新疆2008-2013年手足口病流行病学及病原学特征[J]. 中国公共卫生, 2016, 32(1): 38-41. DOI: 10.11847/zgggws2016-32-01-12
DENG Hong, ZHANG Xuan, Ayiguli·Yierhali.et al, . Epidemiological and etiological characteristics of hand,foot and mouth disease in Xinjiang,2008-2013[J]. Chinese Journal of Public Health, 2016, 32(1): 38-41. DOI: 10.11847/zgggws2016-32-01-12
Citation: DENG Hong, ZHANG Xuan, Ayiguli·Yierhali.et al, . Epidemiological and etiological characteristics of hand,foot and mouth disease in Xinjiang,2008-2013[J]. Chinese Journal of Public Health, 2016, 32(1): 38-41. DOI: 10.11847/zgggws2016-32-01-12

新疆2008-2013年手足口病流行病学及病原学特征

Epidemiological and etiological characteristics of hand,foot and mouth disease in Xinjiang,2008-2013

  • 摘要: 目的 分析新疆2008-2013年手足口病(HFMD)流行病学和病原学特征,为手足口病防控策略制定提供依据。方法 采用描述流行病学方法,对来自国家传染病监测信息报告管理系统中和全疆手足口病网络实验室的HFMD疫情资料和实验室数据进行分析。结果 2008-2013年新疆报告病例38470例,其中重症病例83例,死亡8人,平均年发病率为29.6/10万;病例主要集中于乌鲁木齐市、伊犁州、昌吉州和塔城等北疆地区,4地州病例数占总病例数的68.6%;5-7月为发病高峰,发病人群以1~4岁婴幼儿为主,发病率男性高于女性,以散居儿童和幼托儿童为主,二者所占比例相当;共对4922例HFMD病例进行肠道病毒核酸检测,检出阳性3818例,阳性检出率为77.6%,其中EV71、CA16和其他肠道病毒所占比例分别为38.6%、43.4%和18.0%,EV71在重症和死亡病例中所占比例分别为96.6%和100%。结论 加强手足口病流行病学和病原学监测,尤其是对EV71的监测,对HFMD防控至关重要。

     

    Abstract: Objective To analyze epidemiological and etiological characteristics of hand,foot and mouth disease(HFMD)in Xinjiang Uygur Autonomous Region(Xinjiang)from 2008 throuhg 2013 and to provide bases for HFMD prevention and control.Methods Descriptive epidemiological methods were used to analyze the epidemiological data and laboratory results from National Notifiable Disease Survelliance System and Regional HFMD Lab Net.Results A total of 38 470 HFMD cases were reported during the period,including 83 severe cases and 8 deaths.The average annual incidence rate was 29.6/100000.The majority of the reported cases distributed in Wulumuqi,Yili,Changji and Tacheng prefectures,accounting for 68.6%of the whole cases in Xinjiang.The peak of HFMD epidemic in a year was from May to July.The children under 5 years old were the most susceptible population.The incidence rate in the males was higher than that in the females.Of the 4922 cases tested for enterovirus(EV)nucleic acid with real-time polymerase chain reaction(RT-PCR),3818(77.6%)were EV positive,including human enterovirus 71(EV71)(38.6%),coxsackievirus A 16(CA16)(43.4%),and non-EV71 and non-CA16 enterovirus(other EV)(18.0%).Among the severe and death cases,the detection rate of EV71 was 96.6%and 100.0%,respectively.Conclusion Surveillance on pathogens of HFMD,especially on prevalence of EV71,is important to the control and prevention of HFMD epidemic.

     

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