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RISS 인기검색어
- 검색키워드
- 저자 : Phan Thi Ngoc Uyen (검색결과 2 건)
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Epidemiology of hand, foot, and mouth disease in Southern Vietnam in 2012-2022
Phan Thi Ngoc Uyen Graduate School of Public Health, Yonsei Universit 2024 국내석사
Background: With a 50-year history, Hand, foot, and mouth disease (HFMD) remains a significant public health issue in the Western Pacific, ranking in Vietnam's top 5 communicable diseases. This study analyzes surveillance data in southern Vietnam, the country's highest HFMD burden region. Methods: An ecological study examined HFMD epidemiological characteristics and factors contributing to severe cases across all 20 provinces in southern Vietnam from 2012 to 2022, using national notifiable diseases surveillance system data. Results: Southern Vietnam reported 686,358 HFMD cases, including 104 fatalities, with an incidence rate of 175 cases per 100,000 population. Cases peaked in April during the COVID-19 pandemic. Over 90% occurred in children under three, with males comprising 59%. The Mekong River Delta showed higher severity and mortality risks (OR 2.64, 95% CI: 2.44-2.86 and OR 2.48, 95% CI: 1.10-5.95). Individual factors associated with a higher incidence of severe cases included younger age, male gender, and ethnic minority status. At the provincial level, lower proportions of the population using clean water, and lower numbers of hospital beds per 10,000 population were associated with a higher incidence of severe cases (OR 0.98, 95% CI: 0.97-0.99; and OR 0.99, 95% CI: 0.98-0.99, respectively). Conclusion: HFMD's epidemiology in southern Vietnam aligns with the Western Pacific. Post-COVID-19, adaptive surveillance is vital, and addressing severe cases requires multifaceted interventions, emphasizing healthcare infrastructure, and improved water hygiene.
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