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蔡少健, 谢忠杭, 曹洋, 洪荣涛, 欧剑鸣, 杨秀惠, 严延生. 福建省2008—2012年手足口病流行病学分析[J]. 中国公共卫生, 2014, 30(11): 1469-1472. DOI: 10.11847/zgggws2014-30-11-33
引用本文: 蔡少健, 谢忠杭, 曹洋, 洪荣涛, 欧剑鸣, 杨秀惠, 严延生. 福建省2008—2012年手足口病流行病学分析[J]. 中国公共卫生, 2014, 30(11): 1469-1472. DOI: 10.11847/zgggws2014-30-11-33
CAI Shao-jian, XIE Zhong-hang, CAO Yang.et al, . Prevalence of HFMD in Fujian province from 2008 to 2012[J]. Chinese Journal of Public Health, 2014, 30(11): 1469-1472. DOI: 10.11847/zgggws2014-30-11-33
Citation: CAI Shao-jian, XIE Zhong-hang, CAO Yang.et al, . Prevalence of HFMD in Fujian province from 2008 to 2012[J]. Chinese Journal of Public Health, 2014, 30(11): 1469-1472. DOI: 10.11847/zgggws2014-30-11-33

福建省2008—2012年手足口病流行病学分析

Prevalence of HFMD in Fujian province from 2008 to 2012

  • 摘要: 目的 系统分析福建省近年手足口病流行病学特征,为进一步防控方案的制定提供依据。方法 收集中国疾病监测信息报告系统中福建省2008—2012年手足口病监测资料,采用描述性、分析性流行病学方法和非整秩次秩和比法进行分析和评价。结果 福建省2008—2012年手足口病共监测256 333例,累计发病率694.78/10万,累计死亡率0.21/10万,其中≤5岁儿童占95.74%,累计发病专率10 229.78/10万,累计死亡专率3.21/10万,重症构成比0.79‰;每年4—6月和9—10月是流行高峰季节;发病数构成比和累计发病专率最高的设区市分别是泉州市(24.32%)和福州市(14.60%);综合评价防控效果泉州市、莆田市和三明市好于其他设区市;农村病例恶化成重症和死亡的危险度分布是城市病例的1.45和2.04倍;1岁~组儿童发病专率和死亡专率高于其他年龄组;约52.11%的重症病例和89.61%的死亡病例由 EV71感染引起。结论 福建省手足口病疫情逐年上升,有独特的流行特点;少部分手足口病低发县区应警惕流行毒株的改变和肠道病毒引起其他疾病的暴发。

     

    Abstract: Objective To systematically analyse the epidemiological characteristics of hand,foot and mouth disease(HFMD)in Fujian province from 2008 to 2012 and to provide a basis for prevention and control of the disease.Methods Descriptive and analytic statistics were used and non-integer sequence rank sum ratio was used to evaluate the effect of prevention and control measures.Results From 2008 to 2012,there were 256 333 cases of HFMD reported.The accumulative morbidity was 694.78 per 100 000 and the accumulative mortality was 0.21 per 100 000.There were 95.78% of the cases being the children of ≤5 years old.,with an accumulative specific incidence rate of 10 229.78 per 100 000 and an accumulative specific death rate of 3.21 per 100 000.The durations from April to June and from September to October were two prevalent peak seasons.The highest proportion of incidences was observed in Quanzhou city(24.32%)and the highest accumulative incidence rate was observed in Fuzhou city.The effects of comprehensive prevention and control were better in Quanzhou,Putian,and Sanming municipality than in other cities.The odds ratios of severe cases and death cases were 1.45 times and 2.04 times higher in rural areas than in the urban areas.The children aged 1 to 2 years had the highest morbidity and mortality than other residents.About 52.11% of the severe cases and 89.61% of the death cases were related to the infection of EV71.Conclusion HFMD epidemic increases yearly and is of unique characteristics and some counties with low morbidity should be concerned to the change of prevalent strain to prevent the outbreak of HFMD in Fujian province.

     

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