Objective : To investigate the spatiotemporal clustering characteristics of hand, foot, and mouth disease in Shangcheng District, Hangzhou City in 2021, so as to provide insights into prevention and control of hand, foot, and mouth disease. Methods: Data pertaining to the incidence of hand, foot and mouth disease in Shangcheng District in 2021 were collected from Chinese Disease Prevention and Control Information System, spatial and temporal distribution of hand, foot and mouth disease were described, and the spatiotemporal clusters were identified. Results: A total of 2 473 cases with hand, foot and mouth disease were reported in Shangcheng District in 2021, with a reported incidence rate of 186.86/105. The incidence of hand, foot and mouth disease appeared a bimodal distribution, with the first peak seen during the period between May and July (1 164 cases, 47.07%) and the second peak during the period between October and December (659 cases, 26.65%). Hand, foot and mouth disease was reported across all streets in Shangcheng District, with the highest incidence seen in Dinglan Street (398.84/105). There were one primary cluster and ten secondary clusters of hand, foot and mouth disease, and the primary cluster was centered in Jianqiao Street with 1.81 km in radius, which covered 9 communities in Jianqiao Street and was clustered during the period from March 19 and April 13. Of the 10 secondary clusters, there were three clusters in Dinglan Street, one in each of Jiubao, Sijiqing, Wangjiang and Kaixuan streets, and three clusters crossing streets. In addition, no spatiotemporal clusters of hand, foot and mouth disease were identified in Nanxing Street, Qingbo Street or Ziyang Street. Conclusion There was a remarkable spatiotemporal cluster in the incidence of hand, foot and mouth disease in Shangcheng District in 2021, with the peaks in incidence from May to July and from October to December, and the incidence of hand, foot and mouth disease was mainly clustered in the urban-rural junction and the central urban regions.

Objective To analyse clinical application of hepatitis B virus core antibody(HBcAb)detected by using the chemilu-minescence microparticle immunoassay.Methods A total of 1 6 830 specimen with positive HBcAb detected by using the two pairs of semi-hepatitis test from January 2012 to November 2014 were collected,and divided into three groups according to the cut off in-dex(COI)of detection results of HBcAb,including group 1.0-<9.0,group 9.0-<1 1.0 and group COI≥1 1.0,and detection re-sults were statistically analysed.The hepatitis B virus(HBV)DNA test was carried out in specimen with negative hepatitis B surface antigen(HBsAg)and hepatitis B surface antibody (HBsAb)and COI≥1 1.0.Results The detection rate of HBsAg(+)HBsAb(-) (13.84%)was significantly higher than other expression patterns in group ≥1 1.0(P <0.05).There was no statistically significant differences in positive rate among all expression patterns of HBsAg and HBsAb in the group 9.0-<1 1.0(P >0.05).The detec-tion rate of HBsAg(+)HBsAb(-)of group 9.0-<1 1.0 was significantly lower than that of the other two groups(P <0.05).A total of 304 specimen were HBsAg(-)HBsAb(-)and COI≥1 1,among them 64 specimen were HBV DNA postive and the posi-tive rate was 21.0%.Conclusion In the detection of HBcAb,COI≥1 1 and 1.0-<9.0 could be reference indicators for diagnosiing current and past HBV infection respectively,which should be combined with other laboratory indicators of HBV clinical data for comprehensive analysis.