Study On Epidemiology And Economic Burden Of Hand-foot-mouth Disease In Kuancheng District Of Changchun City During2010-2011

BackgroundHFMD is a common infectious disease which causes by many kinds of entericviruses，and it has break out in the world for many times. There are over20typesenterovirus can cause HFMD，and the most important types are EV71and CoxA16.At present, HFMD has become one of the diseases which serious harm of preschoolchildren health，and it will bring a very heavy economic burden to the patients andtheir families.ObjectiveThis research plans to describe the situation of HFMD in Kuancheng District ofChangchun City during2010-2011, analyze the phase of HFMD epidemiccharacteristics.，combined with the analyze of disease economic burden，proposereasonable suggestions to the target of HFMD prevention and control，for how toreduce the risk of outbreak，to discuss how to optimal allocation of the medicalresources， reduce the economic burden to the family and the society，MethodsThe HFMD report data comes from The report management system for thedisease monitoring information of China information system for diseases control andprevention，the epidemiology materials comes from The CDC of Kuancheng District，use the questionnaire to obtain the diagnosis and treatment cost of HFMD patient. Toanalyze the HFMD pathogenesis status in Kuancheng District during2010-2011withDescriptive Epidemiology Method；to investigation of the economic burden data with2independent samples Wilcoxon rank sum test based on SPSS19.0.ResultsChina information system for diseases control and prevention showed：therewere394HFMD cases reported in2010，the overall morbidity is80.41/100，000， there were no deaths. Lanjia town、 Xingye area are high incidence ofHand-foot-mouth Disease.Sex ratios in2010and2011were1.64:1and1.34:1. Themost Part of cases were the scattered children and the children from nurseries andkindergartens. The peak time was during May to Sep., after September, epidemicslow drop steadily.Select all227cases to survey with questionnaire，include of91outpatientcases and107hospitalized cases (including2severe cases), sample size is equivalentto87.22%of the total case number in Kuancheng district during2011.Economicalburden investigation showed that the Me of the cost was1525Yuan in outpatientcases， while it was5990Yuan in hospitalized cases,the cost of2severe cases were23070and21195Yuan.Conclusion1、The morbidity of HFMD has difference between urban and rural areas inKuancheng district2、The main pathogenesis crowd is preschool children under5years old，mostare scattered children and the children in nursery.3、The morbidity of HFMD has difference between urban and rural areas inKuancheng district，the rural is higher than the urban.4、The economic burden of hospitalized patients is obviously higher than thatof the clinic patients，the serious than the minor，the provincial hospitals higher thanmunicipal hospitals.