赵霞, 崔劲松, 张奕. 2014-2018年上海市闵行区手足口病流行特征及病原学分析[J]. 上海预防医学, 2019, 31(S1): 33-37. DOI: 10.19428/j.cnki.sjpm.2019.19594
引用本文: 赵霞, 崔劲松, 张奕. 2014-2018年上海市闵行区手足口病流行特征及病原学分析[J]. 上海预防医学, 2019, 31(S1): 33-37. DOI: 10.19428/j.cnki.sjpm.2019.19594
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ZHAO Xia, CUI Jin-song, ZHANG Yi. Epidemiological and pathogenic features analysis on hand-foot-and-mouth disease in Minhang District from 2014 to 2018[J]. Shanghai Journal of Preventive Medicine, 2019, 31(S1): 33-37. DOI: 10.19428/j.cnki.sjpm.2019.19594
Citation: ZHAO Xia, CUI Jin-song, ZHANG Yi. Epidemiological and pathogenic features analysis on hand-foot-and-mouth disease in Minhang District from 2014 to 2018[J]. Shanghai Journal of Preventive Medicine, 2019, 31(S1): 33-37. DOI: 10.19428/j.cnki.sjpm.2019.19594
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2014-2018年上海市闵行区手足口病流行特征及病原学分析

Epidemiological and pathogenic features analysis on hand-foot-and-mouth disease in Minhang District from 2014 to 2018

    摘要
  • 摘要:
    目的了解上海市闵行区手足口病的流行病和病原学特征，为今后开展传染病防治工作提供科学依据。
    方法采用描述流行病学方法对闵行区2014-2018年手足口病监测资料进行流行病和病原学特征分析。
    结果2014-2018年闵行区共报告手足口病3.621例，年平均发病率为271.51/10万；13家社区均有手足口病病例报告，发病率位于前3位的社区为华漕镇（575.49/10万）、浦江镇（424.66/10万）和马桥镇（418.78/10万），病例以外省户籍的流动人口为主；发病时间呈双峰模式，5-7月份为主高峰，10-12月为次高峰；主要发病人群为学龄前儿童，7岁以下发病人数共报告3.615例，占发病总人数的91.32%，男女性别比例为1.47:1。手足口病病原学检测结果显示，阳性率为91.38%，普通病例以CA6（54.79%）为主，重症病例以EV71（96.18%）为主。
    结论闵行区手足口病的发病率处于较高水平，流行具有明显的地区、季节和人群特征，普通病例和重症病例的优势毒株分别为CA6和EV71，应加强疫情监测、开展联防联控和健康教育, 加强托幼机构、外来人口聚集地等重点场所的监控是防治手足口病的关键措施。

     

    Abstract:
    ObjectiveTo analyze the epidemiological and pathogenic features of hand-foot-and-mouth disease(HFMD)in Minhang District, and provide scientific reference for the disease prevention and control in future.
    MethodsThe data on HFMD cases were statistically analyzed by SPSS software, and the method of descriptive epidemiology was applied.
    ResultsA total of 3.621 HFMD cases were reported in Minhang District from 2014 to 2018, with the average incidence rate of 271.51 per 10.000. And 13 communities had disease(HFMD)cases reported, and the incidences of Huacao(575.49 per 10.000), Pujiang(424.66 per 10.000)and Maqiao(418.78 per 10.000)were found to be the highest. Most cases occurred in the area of transient population. The incidence peaks were observed during May to July and October to December. Children aged less than seven accounted for 91.32% of the total cases. The male to female ratio of HFMD was 1.47 to 1. The positive detection rate of Enterovirus was 91.38% for HFMD in Minhang District from 2013 to 2017. The EV71(96.18%)accounted for most of the severe cases.
    ConclusionThe incidence of HFMD in Minhang district is at a higher level and shows significant epidemiological features of the region, season and population. The EV71 accounts for most of the severe cases. It is important to strengthen the measures of monitoring the epidemic situation and conduct the joint prevention and control and health education, especially in the preschools and places for gathering migrant population.

     

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