北卡罗来纳州莱姆病的时空空间模式:2010-2020年
Neha V Mokashi1, Amanda Brown Marusiak2, Dana Giandomenico3
1Department of Biostatistics, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Lancet regional health. Americas
|June 17, 2024
概括
莱姆病正在北卡罗来纳州西北部出现,发病率显著上升,并且变得更加集群. 提高提供者意识对于预防进一步的疾病至关重要.
科学领域:
- 流行病学 流行病学
- 公共卫生 公共卫生
- 载体传播疾病 载体传播疾病
背景情况:
- 莱姆氏病是美国最常见的载体传播疾病.
- 北卡罗来纳州 (NC) 的莱姆病病例有所增加.
- 从历史上看,北卡罗来纳州的莱姆病发病率很低.
研究的目的:
- 在NC中描述莱姆病的时空进化.
- 分析从2010年到2020年的莱姆病发病率趋势.
- 确定在北卡罗来纳州莱姆病发病率上升的地理区域.
主要方法:
- 对向北卡罗来纳州公共卫生部门报告的确诊和可能的莱姆病病例的分析.
- 排除有往往前往高传播地区的病例.
- 数据按邮政编码汇总,并使用空间自相关性对四个子时期 (2010-2020年) 进行分析.
主要成果:
- 在北卡罗来纳州西北部观察到莱姆病发病率增加,特别是在阿巴拉契亚山脉.
- 在研究期间,莱姆病病例的空间聚类加剧了 (莫兰的I显著增加).
- 在2019-2020年确定了22个高发病率的邮政编码,重叠发生率变化最大的地区.
结论:
- 莱姆病在北卡罗来纳州西北部迅速出现,一些地区的发病率接近历史上发病率高的地区.
- 迫切需要提高医疗提供者的意识,以减轻莱姆病的发病率.
- 时空分析显示,北卡罗来纳州莱姆病的分布发生了显著的转变.
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