报告义务传染病在中国的城市间移动模式:社会网络分析
Lin-Jie Yu1,2, Peng-Sheng Ji3, Xiang Ren4
1State Key Laboratory of Pathogen and Biosecurity, Academy of Military Medical Science, Beijing, PR China.
The Lancet regional health. Western Pacific
|January 6, 2025
概括
中国的传染病患者迁移是由运输和医疗保健差异驱动的. 了解疾病特异性模式,如乙型肝炎和结核病,是针对性公共卫生干预的关键.
科学领域:
- 流行病学 流行病学
- 公共卫生 公共卫生
- 网络分析 网络分析
背景情况:
- 在中国,高效的运输网络和医疗资源分布不均,有助于传染病患者在城市间迁移.
- 这种迁移给疾病控制和公共卫生管理带来了挑战.
研究的目的:
- 描述2016年至2020年期间中国主要可通报传染病 (NID) 的迁移模式.
- 分析传染病患者迁移的驱动因素和网络结构.
主要方法:
- 从国家可通知的传染病报告系统 (2016-2020) 收集了关于NIDs (在一个城市发病,在另一个城市诊断) 的移徙病例的数据.
- 在城市 (县) 层面对主要NID进行了全国范围的移民病例网络分析.
- 确定了14种主要疾病的迁移模式.
主要成果:
- 从2016年到2020年,报告了超过267万个NID迁移病例.
- 乙型肝炎,结核病,手足口病 (HFMD),梅毒和流感是前五大疾病,占移民病例的79%.
- 确定了三个不同的迁移模式 (短距离,长距离和混合距离),省会作为关键节点. 驱动因素包括人口流动,劳动力流动和目的地城市经济发展.
结论:
- 协作预防和控制策略必须解决频繁的患者迁移和疾病特异性模式.
- 减少医疗保健可访问性差异可以减轻病例迁移和跨区域的疾病传播.
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