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Epidemiological characteristics analysis of hand-foot-mouth disease in Shenyang city from 2013 to 2017 |
ZHAO Cong |
Business Office, Shenyang Health Service and Administrative Law Enforcement Center (Shenyang Center for Disease ControI and Prevention), Liaoning Province, Shenyang 110031, China |
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Abstract Objective To analyze the epidemiological and etiological data of hand-foot-mouth disease in Shenyang city, to provide the basis for scientific prevention and control of hand-foot-mouth disease.Methods The surveillance data of hand-foot-mouth disease from 2013 to 2017 were analyzed by using SPSS 19.0 statistical software.Meanwhile,the regional distribution and pathogenic indexes were statistically tested.Results From 2013 to 2017, hand-foot-mouth disease in Shenyang city firstly rose and then fell back, which showed a cyclical trend.The high incidence areas of hand-foot-mouth disease were suburbs of urban-rural integration, a small number of cases were found in the city′s five districts and counties, and the difference in the five year average incidence was statistically significant (χ2=7919.35,P<0.001).The high incidence was mainly from May to September, with the peak onset from July to August, all year round,the disease occurred.The patients were mainly scattered-living or kindergarten children aged 5 years or below, especially those aged 2 years and 3 years.From 2013 to 2017, there were 1349 laboratory diagnosed cases in Shenyang city, accounting for 3.92% of total cases.During the five years, EV71 virus, Cox A16 virus and other intestinal viruses presented a trend of increasing and decreasing, which showed an alternate rule of the three, with statistically significant differences (χ2=381.994,P<0.001) except in 2014.Conclusion The incidence of the hand-foot-mouth disease presents the cyclical trends with the period of onset of 2-3 years.Strengthening health propaganda in high-risk areas such as poor hygienic conditions, poor hygienic habits and population density is the top priority in preventing hand-foot-mouth disease.
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