活跃病监测的质量优于数量:哨兵监测优于基于风险的监测,用于追踪加拿大南部病传播疾病的出现
Camille Guillot1,2,3, Catherine Bouchard4, Kayla Buhler5
1Groupe de recherche en épidémiologie des zoonoses et santé publique (GREZOSP), Faculté de médecine vétérinaire, Université de Montréal, Montréal, QC.
概括
哨戒站点在跟踪莱姆病 (LD) 风险的时间和空间上比基于风险的监测更有效. 这种方法更好地捕捉了人类LD病例的空间风险和跨年趋势.
科学领域:
- 流行病学 流行病学
- 载体传播疾病监测监测 载体传播疾病监测
- 公共卫生 公共卫生
背景情况:
- 莱姆病 (LD) 在加拿大北克南部流行.
- 自2014年以来,北克一直在进行LD的积极监测.
- 监控使用哨兵和辅助场地.
研究的目的:
- 为了比较哨戒监测与基于风险的LD监测的代表性.
- 评估哪种方法更好地反映了人类人口的LD风险.
主要方法:
- 从哨戒和辅助站点比较动物危害 (虫密度).
- 与人类LD病例 (2015-2019) 相关的危险措施.
- 使用了本地双变的莫兰的I分析.
主要成果:
- 哨戒站点比附属站点显著更好地捕获了空间LD风险.
- 哨兵站点准确地追踪了LD病例数的年度趋势.
- 附加站点,尽管样本规模更大,但没有显示与LD趋势的关联.
结论:
- 选择的哨戒地点的重复采样对于监测传播疾病风险是有效的.
- 基于风险的监测更适合确认新出现的风险或确定长期监测地点.
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