Epidemiological characterization of hand, foot, and mouth disease among hospitalized children from 2014 to 2023 in a hospital in Henan Province: Longitudinal surveillance study.

Epidemiological characterization of hand, foot, and mouth disease among hospitalized children from 2014 to 2023 in a hospital in Henan Province: Longitudinal surveillance study.

Publication date: Sep 01, 2024

Hand, foot, and mouth disease (HFMD) is an acute infectious illness primarily caused by enteroviruses. The present study aimed to describe the epidemiological characteristics of hospitalized HFMD patients in a hospital in Henan Province (Zhengzhou, China), and to predict the future epidemiological parameters. In this study, we conducted a retrospective analysis of general demographic and clinical data on hospitalized children who were diagnosed with HFMD from 2014 to 2023. We used wavelet analysis to determine the periodicity of the disease. We also conducted an analysis of the impact of the COVID-19 epidemic on the detection ratio of severe illness. Additionally, we employed a Seasonal Difference Autoregressive Moving Average (SARIMA) model to forecast characteristics of future newly hospitalized HFMD children. A total of 19 487 HFMD cases were included in the dataset. Among these cases, 1515 (7. 8%) were classified as severe. The peak incidence of HFMD typically fell between May and July, exhibiting pronounced seasonality. The emergence of COVID-19 pandemic changed the ratio of severe illness. In addition, the best-fitted seasonal ARIMA model was identified as (2,0,2)(1,0,1) The incidence of severe cases decreased significantly following the introduction of the vaccine to the market (χ = 109. 9, p 

Concepts Keywords
China Adolescent
Epidemiology Child
July Child, Hospitalized
Seasonality Child, Preschool
China
COVID-19
epidemiological characterization
Female
Hospitalization
Hospitals
Humans
Incidence
Infant
Infant, Newborn
Longitudinal Studies
Male
Retrospective Studies
SARS-CoV-2
Seasons
time‐series analysis
wavelet analysis

Semantics

Type Source Name
disease MESH hand foot and mouth disease
disease MESH COVID-19

Original Article

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