从eDengue数据库2023的Pulau Pinang的登革热爆发相关的因素:一个跨部门研究
Mohamad Zuhair Mohamed Yusoff1, Aimi Nadira Mat Ruzlin1, Mariam Mohamad1
1Department of Public Health Medicine, Faculty of Medicine, Universiti Teknologi Mara (UiTM), Sungai Buloh, Jalan Hospital, 47000 Sungai Buloh, Selangor, Malaysia.
Journal of vector borne diseases
|January 10, 2025
概括
岛的登革热爆发与高Aedes指数和优先地区1地区有关. 及时干预和在政府诊所寻求护理对于控制登革热传播至关重要.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 载体传播疾病 载体传播疾病
背景情况:
- 登革热是一个重大的全球健康问题,在100多个国家流行,亚洲受到影响不成比例.
- 马来西亚,特别是岛,登革热病例急剧增加,需要对疫情驱动因素进行调查.
- 这项研究的重点是确定2023年期间在 Pulau Pinang 爆发登革热的因素.
研究的目的:
- 分析2023年在 Pulau Pinang 爆发登革热的相关因素.
- 为了比较登革热爆发病例与单个病例的特征.
- 为预防登革热提供有针对性的公共卫生干预信息.
主要方法:
- 采用了横截面研究设计.
- 数据来源于eDengue数据库和马来西亚国家登革热注册表.
- 分析了1106个确诊的登革热病例,包括553个爆发病例和553个单一病例.
主要成果:
- 登革热爆发与优先局部1地区 (AOR:0.15) 和艾滋病指数≥1% (AOR:1.35) 有显著关联.
- 首次访问政府诊所 (AOR: 1.63) 和延迟调查 (AOR: 2.40) 与疫情有关,而住院 (AOR: 0.70) 和迅速减少来源 (AOR: 0.57) 显示了相反的关联.
- 确定的关键因素包括艾滋病指数,优先地区1状态,初始医疗保健寻求模式和对疫情的反应时间.
结论:
- 优先地区1地区和高的Aedes指数是岛登革热爆发的关键风险因素.
- 及时调查和减少来源对于控制登革热传播至关重要.
- 了解患者寻求医疗保健的行为和优化干预策略对于减轻登革热疫情至关重要.
相关概念视频
00:36Viral Mutations
32.1K
A mutation is a change in the sequence of bases of DNA or RNA in a genome. Some mutations occur during replication of the genome due to errors made by the polymerase enzymes that replicate DNA or RNA. Unlike DNA polymerase, RNA polymerase is prone to errors because it is not capable of “proofreading” its work. Viruses with RNA-based genomes, like HIV, therefore accrue mutations faster than viruses with DNA-based genomes. Because mutation and recombination provide the raw material...
32.1K
01:18Steps in Outbreak Investigation
105
In the ever-evolving field of public health, statistical analysis serves as a cornerstone for understanding and managing disease outbreaks. By leveraging various statistical tools, health professionals can predict potential outbreaks, analyze ongoing situations, and devise effective responses to mitigate impact. For that to happen, there are a few possible stages of the analysis:
105
00:57Viral Recombination
23.2K
Cells are sometimes infected by more than one virus at once. When two viruses disassemble to expose their genomes for replication in the same cell, similar regions of their genomes can pair together and exchange sequences in a process called recombination. Alternatively, viruses with segmented genomes can swap segments in a process called reassortment.
23.2K
00:42Cross-reactivity
31.0K
Overview
31.0K