在加拿大对莱姆病的监测,2009-2019年
Salima Gasmi1, Jules K Koffi1, Mark P Nelder2
1Centre for Food-borne, Environmental and Zoonotic Infectious Diseases, Public Health Agency of Canada, Saint-Hyacinthe, QC.
概括
从2009年到2019年,加拿大的莱姆病病例显著增加,主要是由于当地获得的感染. 需要采取公共卫生措施来解决这一日益严重的问题,并尽量减少其影响.
科学领域:
- 流行病学 流行病学
- 传染性疾病 传染性疾病
- 公共卫生 公共卫生
背景情况:
- 莱姆病 (Lyme disease,简称LD) 是一种重要的多系统感染,影响皮肤,心脏,关节和神经系统.
- 在过去的十年里,加拿大观察到LD病例的发病率上升,加剧了公众健康的担忧.
研究的目的:
- 综合总结了在加拿大报告的莱姆病病例的流行病学.
- 分析2009年至2019年LD发病率,病例分类和分布的趋势.
主要方法:
- 报告的LD病例的分析,包括随时间的发生率,病例分类 (确认/可能),以及季节性/地理分布.
- 确定报告的LD病例的人口和临床特征.
- 后勤回归用于识别潜在的人口风险因素的LD发生.
主要成果:
- 在2009年至2019年期间,共有10,150例LD病例被报告,每年从144例增加到2,634例.
- 当地获得的感染从65.3%上升到93.6%,大多数病例集中在安大略省,新斯科舍省和北克省.
- 在儿童 (5-9岁) 和老年人 (65-69岁) 中观察到的发病率最高,红血和关节炎是常见症状.
结论:
- 这项研究强调了莱姆病在加拿大的持续出现.
- 需要加强有针对性的公众宣传活动,以减轻莱姆病日益增长的负担.
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