Please wait a minute...
文章检索
预防医学  2023, Vol. 35 Issue (3): 243-245,249    DOI: 10.19485/j.cnki.issn2096-5087.2023.03.013
  疾病控制 本期目录 | 过刊浏览 | 高级检索 |
吴兴区6岁以下儿童手足口病流行特征分析
钱晓萍, 凌健, 刘腾
湖州市吴兴区疾病预防控制中心免疫规划科,浙江 湖州 313000
Epidemiological features of hand, foot, and mouth disease among children under 6 years in Wuxing District
QIAN Xiaoping, LING Jian, LIU Teng
Department of Immunization Planning, Wuxing Center for Disease Control and Prevention, Huzhou, Zhejiang 313000, China
全文: PDF(944 KB)  
输出: BibTeX | EndNote (RIS)      
摘要 目的 了解2013—2021年湖州市吴兴区6岁以下儿童手足口病的流行特征,为儿童手足口病防控提供依据。方法 通过中国疾病预防控制信息系统收集2013—2021年湖州市吴兴区6岁以下儿童手足口病病例资料和肠道病毒71型(EV71)疫苗接种资料,描述性分析儿童手足口病病例的时间、人群、地区分布特征和病原学检测结果。结果 2013—2021年吴兴区共报告6岁以下手足口病病例14 272例,年均发病率为465.75/万。其中男童8 313例,发病率为522.39/万;女童5 959例,发病率为404.55/万。男童发病率高于女童(χ2=239.228,P<0.001)。1~3岁儿童发病数较多,10 006例占70.11%。每年的2个发病高峰分别为5—7月和10—12月。织里镇、杨家埠街道和八里店镇发病率较高,分别为741.50/万、546.99/万和438.68/万。实验室确诊病例717例,占5.02%;其中EV71阳性106例,占14.78%;CoxA16阳性177例,占24.69%。2017—2021年吴兴区共接种EV71疫苗56 288剂次,年均全程接种率为14.87%;EV71疫苗接种后检出EV71阳性占4.49%,高于接种前的24.93%(χ2=62.932,P<0.001)。结论 吴兴区6岁以下儿童手足口病冬季和夏季高发,以1~3岁低年龄段发病为主,织里镇、杨家埠街道和八里店镇发病率高,EV71疫苗推广接种后EV71阳性病例较接种前明显减少。
服务
把本文推荐给朋友
加入引用管理器
E-mail Alert
RSS
作者相关文章
钱晓萍
凌健
刘腾
关键词 手足口病儿童流行特征肠道病毒71型疫苗    
AbstractObjective To investigate the epidemiological characteristics of hand, foot, and-mouth disease (HFMD) among children under 6 years in Wuxing District, Huzhou City from 2013 to 2021, so as to provide insights into HFMC control among children. Methods The surveillance on HFMD and enterovirus 71 (EV71) vaccination among children under 6 years in Wuxing District, Huzhou City from 2013 to 2021 were captured from China Disease Prevention and Control Information System, and the temporal, human and spatial distributions of HFMD cases and pathogenic detection results were descriptively analyzed. Results A total of 14 272 HFMD cases under 6 years were reported in Wuxing District from 2013 to 2021, with an average annual incidence rate of 465.75/104. There were 8 313 male children with HFMD (522.39/104 incidence) and 5 959 female children with HFMD (404.55/104 incidence), and higher incidence of HFMD was seen among male children than among female children (χ2=239.228, P<0.001). Most HFMD cases were found among children at ages of 1 to 3 years (10 006 cases, 70.11%), and the incidence of HFMD peaked during the period between May and July and between October and December each year. High incidence of HFMD was seen in Zhili Township (741.50/104), Yangjiabu Street (546.99/104) and Balidian Township (438.68/104). There were 717 laboratory-confirmed HFMD cases (5.02%), including 106 EV71-positive cases (14.78%) and 177 CoxA16-positive cases (24.69%). A total of 56 288 doses of EV71 vaccines were administered in Wuxing District from 2017 to 2021, with an annual average full-dose vaccination rate of 14.87%. The detection of EV71 infection was significantly lower after EV71 vaccination than before vaccination (4.49% vs. 24.93%; χ2=62.932, P<0.001). Conclusions The incidence of HFMD peaks in summer and winter among children under 6 years in Wuxing District, which predominantly occurs among children at ages of 1 to 3 years. The incidence of HFMD is high in Zhili Township, Yangjiabu Street and Balidian Township, and the number of EV71-positive cases significantly reduces after EV71 vaccination than before vaccination.
Key wordshand foot and mouth disease    child    epidemiological characteristics    enterovirus 71 vaccine
收稿日期: 2022-11-04      出版日期: 2023-03-17
中图分类号:  R725.1  
作者简介: 钱晓萍,本科,副主任医师,主要从事免疫规划和传染病防控工作
引用本文:   
钱晓萍, 凌健, 刘腾. 吴兴区6岁以下儿童手足口病流行特征分析[J]. 预防医学, 2023, 35(3): 243-245,249.
QIAN Xiaoping, LING Jian, LIU Teng. Epidemiological features of hand, foot, and mouth disease among children under 6 years in Wuxing District. Preventive Medicine, 2023, 35(3): 243-245,249.
链接本文:  
http://www.zjyfyxzz.com/CN/10.19485/j.cnki.issn2096-5087.2023.03.013      或      http://www.zjyfyxzz.com/CN/Y2023/V35/I3/243
[1] COX B,LEVENT F.Hand,foot,and mouth disease[J/OL].JAMA,2018,320(23)[2023-01-13].https://doi.org/10.1001/jama.2018.17288.
[2] 杭惠,张钧,陈立凌,等.2011—2020年苏州市6岁以下儿童手足口病流行特征分析[J].中国初级卫生保健,2022,36(5):51-54.
[3] 张万军,袁兆虎,张瑾,等.2008—2017年镇江市6岁以下儿童手足口病流行特征及病原学监测分析[J].现代预防医学,2019,46(2):360-367.
[4] 庞孟涛,李傅冬,林君芬,等.2016—2019年浙江省手足口病流行特征[J].预防医学,2022,34(3):307-310.
[5] 王笑笑,蔡剑,韩桃利,等.2009—2017年浙江省手足口病流行病学特征及病原学监测分析[J].中华实验和临床病毒学杂志,2019,33(1):1-5.
[6] 陈诹,王莉红,刘丹,等.2015—2018年上海市浦东新区手足口病空间特征分析[J].公共卫生与预防医学,2020,31(2):50-53.
[7] 王浩权,马飞飞,龚刚,等.2015—2020年嘉定区手足口病流行特征[J].预防医学,2021,33(10):1065-1067.
[8] 刘立立,刘志科,张良,等.2016—2019年宁波市5岁及以下儿童手足口病流行病学特征[J].北京大学学报(医学版), 2021,53(3):491-497.
[9] 孙巍,陈淑红,华华,等.2018—2019年黑龙江省手足口病疫情特征分析[J].中国公共卫生管理,2021,37(6):796-798.
[10] 袁百利. 关于吴兴区流动人口公共卫生管理思路的探索[C]//浙江省第十七届农村医学暨乡镇卫生院管理学术会议大会论文集,2009:170-172.
[11] 章光明,吴晓虹,金祝平,等.金华市EV71灭活疫苗接种水平分析[J].预防医学,2019,31(10):1022-1024.
[12] 王凌虹,叶丽霞,顾永权,等.余姚市2012—2018年出生儿童肠道病毒71型疫苗接种分析[J].预防医学,2020,32(9):911-916.
[13] 杨芬,梁文佳,孙立梅,等.广东省EV71疫苗接种水平与手足口病流行分析[J].中国公共卫生,2020,36(3):351-354.
[1] 许太彬, 程春荣, 段江洋, 兰培利, 段欣洋. 郑州市50岁及以上HIV/AIDS病例流行特征[J]. 预防医学, 2023, 35(4): 323-326.
[2] 卢小敏, 赵继娟, 孙中友, 张学艳, 陈盛兰. 盐城市儿童青少年健康危险行为聚集情况调查[J]. 预防医学, 2023, 35(4): 331-334.
[3] 周洁, 谭自明, 茹凉. 1990年与2019年中国0~14岁儿童肿瘤疾病负担分析[J]. 预防医学, 2023, 35(3): 205-209.
[4] 关新朋, 徐洪兵, 方嘉堃, 朱雨桐, 刘凌燕, 赵茜, 宋晓明, 徐保平, 黄薇. 大气NOX和NO2急性暴露与儿童呼吸系统疾病门诊量的关联研究[J]. 预防医学, 2023, 35(3): 185-189,195.
[5] 李鹏, 吴文杰, 唐安, 李科峰, 严剑波. 2004—2021年舟山市突发公共卫生事件流行特征[J]. 预防医学, 2023, 35(2): 144-147.
[6] 许树红, 单杏仁, 卢巧玲, 孟海滨, 余佳琦. 2012—2021年绍兴市生殖道沙眼衣原体感染流行病学特征[J]. 预防医学, 2023, 35(2): 148-151.
[7] 向泽林, 顾伟玲, 富小飞, 亓云鹏, 查亦薇, 刘杨, 刘砚清, 郭飞飞, 燕勇, 周晚玲. 2010—2021年嘉兴市布鲁氏菌病流行特征[J]. 预防医学, 2023, 35(1): 41-43.
[8] 何飞, 马永法, 顾春艳, 潘铭, 陈万庚. 2005—2021年盐都区水痘流行特征[J]. 预防医学, 2023, 35(1): 61-64.
[9] 谢家敏, 武婕. 人腺病毒感染的流行病学研究进展[J]. 预防医学, 2023, 35(1): 32-35,40.
[10] 毛光明, 莫哲, 顾思萌, 黄学敏, 王鸳鸯, 李雪青, 陈志健, 王晓峰. 浙江省8~10岁儿童碘营养水平与甲状腺肿调查[J]. 预防医学, 2022, 34(9): 914-918.
[11] 傅天颖, 吴昊澄, 鲁琴宝, 丁哲渊, 王心怡, 杨珂, 吴晨, 林君芬. 2021年浙江省法定传染病疫情分析[J]. 预防医学, 2022, 34(8): 842-847.
[12] 管仲阳, 孙立信, 曹一, 姜国艳, 严海洋, 祁耀. 2016—2020年盐城市隐性梅毒流行特征分析[J]. 预防医学, 2022, 34(8): 826-830.
[13] 高明妃, 胡如英, 胡崇高. 中国糖尿病死亡流行特征研究进展[J]. 预防医学, 2022, 34(7): 692-695.
[14] 王敏, 王炜, 郝晓刚, 卢美, 方春福, 刘魁, 陈松华. 衢州市60岁及以上肺结核病例特征分析[J]. 预防医学, 2022, 34(5): 492-495,502.
[15] 蒋卓婧, 葛小萍, 陈金堃, 王吉玲. 绍兴市手足口病病毒型别检测结果分析[J]. 预防医学, 2022, 34(5): 507-510.
Viewed
Full text


Abstract

Cited

  Shared   
  Discussed