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预防医学  2025, Vol. 37 Issue (7): 718-721    DOI: 10.19485/j.cnki.issn2096-5087.2025.07.016
  疾病控制 本期目录 | 过刊浏览 | 高级检索 |
2013—2023年湖州市手足口病流行特征
刘艳, 张子喆, 王雨达, 刘光涛, 沈建勇
湖州市疾病预防控制中心,浙江 湖州 313000
Epidemiological characteristics of hand, foot, and mouth disease in Huzhou City from 2013 to 2023
LIU Yan, ZHANG Zizhe, WANG Yuda, LIU Guangtao, SHEN Jianyong
Huzhou Center for Disease Control and Prevention, Huzhou, Zhejiang 313000, China
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摘要 目的 了解2013—2023年浙江省湖州市手足口病流行特征,为完善手足口病防控措施提供依据。方法 通过中国疾病预防控制信息系统传染病报告信息管理系统收集2013—2023年湖州市手足口病病例资料,描述性分析手足口病病例的流行特征和病原学特征。结果 2013—2023年湖州市报告手足口病病例61 093例,年均报告发病率为181.89/10万,未见明显变化趋势(AAPC=1.855%,P>0.05)。5—7月为发病高峰,10—12月为发病次高峰。男性手足口病年均报告发病率为206.93/10万,高于女性的155.74/10万(P<0.05);以<5岁儿童为主,48 936例占80.10%,其中1岁组年均报告发病率最高,为5 767.62/10万;以散居儿童为主,33 508例占54.85%。安吉县和吴兴区手足口病年均报告发病率较高,分别为211.68/10万和210.43/10万。手足口病实验室确诊病例2 791例,分别检出肠道病毒71型(EV71)、柯萨奇病毒A组16型和其他肠道病毒阳性246、600和1 945例,均以<5岁儿童为主,分别占87.39%、75.67%和82.57%;2013—2023年其他肠道病毒阳性比例较高,EV71在2014年后阳性比例下降。结论 2013—2023年湖州市手足口病报告发病率变化相对平缓,5—7月为发病高峰,男性、<5岁和散居儿童是防控重点人群,安吉县和吴兴区为高发地区,其他肠道病毒为优势病原体。
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刘艳
张子喆
王雨达
刘光涛
沈建勇
关键词 手足口病流行特征肠道病毒71型    
AbstractObjective To investigate the epidemiological characteristics of hand, foot, and mouth disease (HFMD) in Huzhou City, Zhejiang Province from 2013 to 2023, so as to provide the basis for improving HFMD prevention and control measures. Methods Data on HFMD cases in Huzhou City from 2013 to 2023 were collected through the Infectious Disease Reporting Information System of Chinese Disease Prevention and Control Information System. The epidemiological and etiological characteristics of HFMD cases were described. Results A total of 61 093 HFMD cases were reported in Huzhou City from 2013 to 2023, with an average annual reported incidence of 181.89/105, showing no significant trend (AAPC=1.855%, P>0.05). The peak incidence of HFMD was reported from May to July, with a second peak from October to December. The average annual reported incidence of HFMD in males was higher than in females (206.93/105 vs. 155.74/105, P<0.05). The majority of cases were children aged under 5 years, with 48 936 cases (80.10%). The highest average annual reported incidence was observed in the children aged 1 year (5 767.62/105). The majority of cases were scattered children, with 33 508 cases (54.85%). Anji County and Wuxing District had relatively high average annual reported incidences of HFMD, at 211.68/105 and 210.43/105, respectively. Among the 2 791 laboratory-confirmed HFMD cases, 246, 600, and 1 945 cases tested positive for enterovirus 71 (EV71), Coxsackievirus A16, and other enteroviruses, respectively. Children aged under 5 years accounted for 87.39%, 75.67%, and 82.57% of the cases positive for the corresponding virus types, respectively. From 2013 to 2023, other enteroviruses had a relatively high positive proportion, while the positive proportion of EV71 decreased after 2014. Conclusions The reported incidence of HFMD in Huzhou City remained relatively stable. The peak incidence occurred from May to July. Males, children aged under 5 years, and scattered children were the key populations for prevention and control. Anji County and Wuxing District were high-incidence areas, and other enteroviruses were the predominant pathogens.
Key wordshand    foot    and mouth disease    epidemiological characteristics    enterovirus 71
收稿日期: 2024-12-23      修回日期: 2025-02-25      出版日期: 2025-07-10
中图分类号:  R181  
基金资助:浙江省疾病预防控制科技计划项目(2025JK283); 湖州市疾控中心重点学科:急性传染病学(ZDXK202202); 湖州市医学重点支撑学科(流行病学); 湖州市疾病预防控制中心科技计划项目(KJJH202401)
作者简介: 刘艳,硕士,主管医师,主要从事急性传染病预防控制工作
通信作者: 沈建勇,E-mail:32288746@qq.com   
引用本文:   
刘艳, 张子喆, 王雨达, 刘光涛, 沈建勇. 2013—2023年湖州市手足口病流行特征[J]. 预防医学, 2025, 37(7): 718-721.
LIU Yan, ZHANG Zizhe, WANG Yuda, LIU Guangtao, SHEN Jianyong. Epidemiological characteristics of hand, foot, and mouth disease in Huzhou City from 2013 to 2023. Preventive Medicine, 2025, 37(7): 718-721.
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http://www.zjyfyxzz.com/CN/10.19485/j.cnki.issn2096-5087.2025.07.016      或      http://www.zjyfyxzz.com/CN/Y2025/V37/I7/718
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