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ObjectiveTo analyze the epidemiological characteristics, spatiotemporal clustering, and changing trends of hand, foot, and mouth disease (HFMD) in Fujian province from 2009 to 2022. MethodsData on HFMD cases in Fujian province from 2009 to 2022 were obtained from the Surveillance Reporting Management System of the China Information System for Disease Control and Prevention. Descriptive epidemiology, Joinpoint regression, spatial autocorrelation analysis, and spatiotemporal scanning were used to analyze HFMD in Fujian province. ResultsA total of 927 366 HFMD cases were reported in Fujian province from 2009 to 2022, with an average annual reported incidence rate of 172.15/100 000, severe case rate of 0.62/100 000, mortality rate of 0.018/100 000, and case fatality rate of 10.68/100 000. The reported incidence rate, severe case rate, mortality rate, and case fatality rate of HFMD all showed a trend of first increasing and then decreasing. HFMD incidence exhibited obvious seasonality, with two peaks each year, the main peak in May – June and the secondary peak in September – November. The key population was children aged < 5 years, accounting for 91.33% of all cases. Among 40 637 laboratory-confirmed cases, accounting for 4.38% of all confirmed cases, 28.93% (11 756/40 637) were positive for enterovirus A71 (EV-A71), 20.38% (8 280/40 637) were positive for coxsackievirus A16 (COX-A16), and 50.69% (20 601/40 637) were positive for other enteroviruses. Spatiotemporal clustering of HFMD existed in Fujian province (Moran′s I = 0.15 – 0.56, P < 0.05). Spatiotemporal scanning detected three clusters, one primary cluster and two secondary clusters. ConclusionObvious spatiotemporal clustering of HFMD existed in Fujian province from 2009 to 2022, and the overall epidemic trend first increased and then decreased. Prevention and control of the epidemic should focus on the prefecture-level city unit and strengthen HFMD prevention and control for key populations and before the arrival of epidemic peaks.

Objectives: To evaluate the impact of early implementation of public health and social measures (PHSMs) on contact rates over time and explore contact behavior of asymptomatic versus symptomatic cases. Methods: We used the largest contact tracing data in China thus far to estimate the mean contacts over time by age groups and contact settings. We used bootstrap with replacement to quantify the uncertainty of contact matrixes. The Pearson correlation was performed to demonstrate the number of contacts over time in relation to the evolution of restrictions. In addition, we analyzed the index cases with a high number of contacts and index cases that produced a high number of secondary cases. Results: Rapidly adapted PHSMs can reduce the mean contact rates in public places while increasing the mean contact rates within households. The mean contact rates were 11.81 (95% confidence interval, 11.61-12.01) for asymptomatic (at the time of investigation) cases and 6.70 (95% confidence interval, 6.54-6.87) for symptomatic cases. The percentage of asymptomatic cases (at the time of investigation) meeting >50 close contacts make up more than 65% of the overall cases. The percentage of asymptomatic cases producing >10 secondary cases account for more than 80% of the overall cases. Conclusion: PHSMs may increase the contacts within the household, necessitating the need for pertinent prevention strategies at home. Asymptomatic cases can contribute significantly to Omicron transmission. By making asymptomatic people aware that they are already contagious, hence limiting their social contacts, it is possible to lower the transmission risk.

An integrated protector of electromagnetic starter and lighting signal is designed for underground coal mine in this paper. Based on the STM32 microcontroller and its internal digital-to-analog conversion module, the protector can obtain the real-time operating status of the protected equipment, and protect the electric motor, lighting and signal system of underground coal mine at the same time. The protector has multiple functions including the leakage lockout, excessive gas concentration lock in the wind power circuit, failure information storage, the danger indication of overload, short circuit, under-voltage, over-voltage, phase failure, three-phase imbalance and insulation, etc. Moreover, the protector has the advantages of high detection accuracy, strong anti-interference ability, fast response speed, convenient operation and low maintenance cost.