2010—2015年天津市滨海新区手足口病流行特征和空间分布特点
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摘要
目的分析天津市滨海新区2010—2015年手足口病流行特征和空间分布特点,为控制手足口病提供科学依据。方法收集天津市滨海新区2010—2015年中国疾病监测信息报告管理系统中手足口病个案信息,采用描述流行病学方法和应用地理信息系统技术进行分析。结果天津滨海新区2010—2015年共报告手足口病18 163例,3个功能区均有手足口病病例报告。2010年报告3 672例;2011年3 108例;2012年3 826例;2013年1 799例;2014年3 735例;2015年2 023例,发病率分别为262.33/10万、125.21/10万、152.79/10万、69.75/10万、139.12/10万和73.21/10万。发病集中在5岁以下儿童,共计15 898例,占总发病数的87.53%。结论手足口病的发生有明显的年龄和地区差异,应加强手足口病监测、预警工作,防控关键地区在塘沽功能区,重点人群是5岁以下幼托儿童和散居儿童。
[Objective]To analyze the epidemic characteristics and spatial distribution characteristics of hand-foot-mouth disease(HFMD) in Binhai New Area of Tianjin from 2010-2015,provide scientific basis for HFMD control.[Methods]The data of HFMD cases in Binhai New Area of Tianjin from 2010-2015 were collected from the China information system for disease surveillance,and were analyzed by the descriptive epidemiological method and applied geographic information system technology.[Results]There were totally 18 163 HFMD cases in Binhai New Area of Tianjin from 2010-2015,and the cases were reported in three functional areas. There were 3 672 cases in 2010,3 108 cases in 2011,3 826 cases in 2012,1 799 cases in 2013,3 735 cases in 2014 and 2 023 cases in 2015,which the incidence rate was 262.33/lakh,125.21/lakh,152.76/lakh,69.75/lakh,139.12/lakh,73.21/lakh,respectively. Most of cases(15 898 cases) were children below 5 years old,accounting for 87.53% of total cases.[Conclusion]The epidemic situation of HFMD has obvious differences in age and region. It is necessary to strengthen monitoring and early warning of HFMD,and the prevention and control work should focus on the Tanggu District,as well as childcare children and scattered children below 5 years old.
[Objective]To analyze the epidemic characteristics and spatial distribution characteristics of hand-foot-mouth disease(HFMD) in Binhai New Area of Tianjin from 2010-2015,provide scientific basis for HFMD control.[Methods]The data of HFMD cases in Binhai New Area of Tianjin from 2010-2015 were collected from the China information system for disease surveillance,and were analyzed by the descriptive epidemiological method and applied geographic information system technology.[Results]There were totally 18 163 HFMD cases in Binhai New Area of Tianjin from 2010-2015,and the cases were reported in three functional areas. There were 3 672 cases in 2010,3 108 cases in 2011,3 826 cases in 2012,1 799 cases in 2013,3 735 cases in 2014 and 2 023 cases in 2015,which the incidence rate was 262.33/lakh,125.21/lakh,152.76/lakh,69.75/lakh,139.12/lakh,73.21/lakh,respectively. Most of cases(15 898 cases) were children below 5 years old,accounting for 87.53% of total cases.[Conclusion]The epidemic situation of HFMD has obvious differences in age and region. It is necessary to strengthen monitoring and early warning of HFMD,and the prevention and control work should focus on the Tanggu District,as well as childcare children and scattered children below 5 years old.
引文
[1]王春荣,吕燕,赵红,等.2010年济南地区手足口病病原及流行特征[J].中华疾病控制杂志,2012,16(5):404-407.
[2]徐文体,刘辉,陈茜,等.天津市蓟县手足口病传播时空分布特征[J].中华疾病控制杂志,2013,17(9):824-826.
[3]贺天锋,杨天池,易波,等.宁波市2011年手足口病经济负担估计[J].上海预防医学,2012,24(9):476-478.
[4]秦玉君,张建军,张静,等.山东省烟台市1 398例手足口病患者经济负担及就诊情况调查[J].中华流行病学杂志,2009,30(12):1319-1320.
[5]王恒昌,张树兰,王丽,等.昆明市某区2011年手足口病住院病例疾病经济负担调查[J].中国初级卫生保健,2013,27(2):62-64.
[6]李力,杨东靖,吕莉琨,等.2010年天津市手足口病病原学与分子流行病学分析[J].疾病监测,2011,26(8):604-607.
[7]GUAN D,VANDER SANDRN S,ZRNG H,et al.Population dynamics and genetic diversity of C4.strains of human enterovirus 71 in Mainland China,1998—2010[J].PLo S ONE,2012,7(9):e44386.
[8]李辉,胡茂红,吴景文.南昌市2009年手足口病流行病学特征分析[J].中华疾病控制杂志,2011,15(2):129-131.
[9]张文增,李长青,冀国强,等.回顾性时空重排扫描统计量在手足口病聚集性研究中的应用[J].中华疾病控制杂志,2012,16(1):73-76.
[10]万俊峰,孙良,朱理业,等.安徽省阜阳市2008—2010年手足口病疫情流行病学分析[J].安徽医学,2011,32(12):1977-1979.
[11]俞李萍,张瑞凤,许莉萍,等.一起幼儿园手足口病突发疫情流行特征分析[J].中国学校卫生,2015,36(3):461-463.
[12]李佳萌,张颖,高璐,等.天津市2009—2010年健康人群肠道病毒71型中和抗体血清流行病学调查[J].中华流行病学杂志,2011,32(6):568-570.
[13]ZHU FC,XU WB,XIA JL,et a1.Nefficacy,safety,and immunogenicity of an enterovirus 71 vaccine in China[J].NEJM,2014,370(9):818-828.
[2]徐文体,刘辉,陈茜,等.天津市蓟县手足口病传播时空分布特征[J].中华疾病控制杂志,2013,17(9):824-826.
[3]贺天锋,杨天池,易波,等.宁波市2011年手足口病经济负担估计[J].上海预防医学,2012,24(9):476-478.
[4]秦玉君,张建军,张静,等.山东省烟台市1 398例手足口病患者经济负担及就诊情况调查[J].中华流行病学杂志,2009,30(12):1319-1320.
[5]王恒昌,张树兰,王丽,等.昆明市某区2011年手足口病住院病例疾病经济负担调查[J].中国初级卫生保健,2013,27(2):62-64.
[6]李力,杨东靖,吕莉琨,等.2010年天津市手足口病病原学与分子流行病学分析[J].疾病监测,2011,26(8):604-607.
[7]GUAN D,VANDER SANDRN S,ZRNG H,et al.Population dynamics and genetic diversity of C4.strains of human enterovirus 71 in Mainland China,1998—2010[J].PLo S ONE,2012,7(9):e44386.
[8]李辉,胡茂红,吴景文.南昌市2009年手足口病流行病学特征分析[J].中华疾病控制杂志,2011,15(2):129-131.
[9]张文增,李长青,冀国强,等.回顾性时空重排扫描统计量在手足口病聚集性研究中的应用[J].中华疾病控制杂志,2012,16(1):73-76.
[10]万俊峰,孙良,朱理业,等.安徽省阜阳市2008—2010年手足口病疫情流行病学分析[J].安徽医学,2011,32(12):1977-1979.
[11]俞李萍,张瑞凤,许莉萍,等.一起幼儿园手足口病突发疫情流行特征分析[J].中国学校卫生,2015,36(3):461-463.
[12]李佳萌,张颖,高璐,等.天津市2009—2010年健康人群肠道病毒71型中和抗体血清流行病学调查[J].中华流行病学杂志,2011,32(6):568-570.
[13]ZHU FC,XU WB,XIA JL,et a1.Nefficacy,safety,and immunogenicity of an enterovirus 71 vaccine in China[J].NEJM,2014,370(9):818-828.