从2006年到2021年在中国四川的草原伤寒的流行病学分析和风险预测
Yao Zhang1, Mengyuan Zhang1, Yao Qin1
1Department of Emergency Management, Sichuan Center for Diseases Control and Prevention, Chengdu, China.
Frontiers in public health
|June 16, 2023
概括
在中国的四川省,草原伤寒 (ST) 病例有所上升. 灌木和温度等环境因素影响ST传播,突出了针对性预防的高风险地区.
科学领域:
- 流行病学 流行病学
- 空间分析是一种空间分析.
- 环境健康 环境健康
背景情况:
- 在过去的十年里,四川省的灌木伤寒 (ST) 发病率显著增加.
- 由于ST病例的增加及其影响,越来越多的公共卫生问题.
研究的目的:
- 分析四川省灌木伤寒的流行病学特征.
- 确定影响ST空间分布的关键环境和社会经济变量.
- 绘制和估计ST发生和传播的高风险地区.
主要方法:
- 使用的每日ST病例数据 (2006-2021) 和环境/社会经济数据集.
- 用于发病率趋势分析和年度百分比变化计算的员工joinpoint回归.
- 应用全球空间自相对应和增强回归树 (BRT) 模型用于空间模式探索和风险区域预测.
主要成果:
- 在四川报告了6338起ST病例 (2006-2021年),发病率持续上升.
- 观察到ST病例的空间聚类,主要是在板溪地区,随后扩散.
- 确定了灌木,降水,农田和最高温度作为影响空间分布的重要因素;确定了梁山,潘志华,中和广元作为高风险区域.
结论:
- 四川省面临着广泛的湿地伤寒敏感性,数百万人面临潜在的风险.
- 数据驱动的洞察力对于在确定的高风险地区制定有针对性的预防和控制策略至关重要.
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