从2005年到2020年,中国被忽视的热带疾病负担的时空空间分布
Hanqi Ouyang1, Ziyu Zhao1, Ibrahima Socé Fall2
1NHC Key Laboratory of Tropical Disease Control, School of Tropical Medicine, the First Affiliated Hospital, Hainan Medical University, Haikou, 571199, Hainan, China.
Infectious diseases of poverty
|September 5, 2024
概括
中国在2005年至2020年期间大幅减少了其被忽视的热带疾病 (NTD) 负担,减少了92.27%. 这项研究追踪了NTD的流行率和空间分布,以告知未来的健康战略.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 全球健康 全球健康
背景情况:
- 世界卫生组织列出的21种被忽视的热带疾病 (NTD) 中,有15种影响中国.
- 缺乏关于NTD负担和时空动态的全面数据.
- 本研究解决了在中国需要进行详细的NTD评估的需求.
研究的目的:
- 评估2005年至2020年中国NTD的疾病负担和时空分布.
- 为国家卫生议程和资源分配提供参考.
- 调整国家努力与全球卫生目标,以控制NTD.
主要方法:
- 从中国公共卫生科学数据中心 (2005-2020) 下载了NTD病例和死亡数据.
- 估计的残疾调整寿命年 (DALYs),失去寿命年 (YLLs) 和残疾生活年 (YLDs).
- 使用空间自相关性分析 (莫兰的I) 来评估NTD负载分布.
主要成果:
- 中国的整体NTD负担下降了92.27% (从2005年的245,444.53 DALY降至2020年的18,984.34 DALY).
- 在2005年,和狂犬病是导致疾病负担的主要原因.
- 2015年,湖南和四川省的NTD多样性最高,四川,西和广东的疾病负担最高.
- 空间分析显示,NTD主要在中国中部和南部的"高高"聚类.
结论:
- 通过专门的预防和控制工作,中国已经实现了重大NTD负担的显著降低.
- 该研究强调了国家战略对抗NTD的有效性.
- 建议采用"一个健康"的方法,以实现高效的资源分配和精确的疾病控制干预.
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