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伊朗流感类疾病的国家时空模式:COVID-19前的一项研究 (2015-2019)

Atieh Sedghian^1,2, Shahab MohammadEbrahimi^1,2, Benn Sartorius^3,4,5

¹Department of Medical Informatics, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.

|April 21, 2025

概括

这项研究确定了在COVID-19之前伊朗流感样疾病 (ILI) 的高风险地区. 这些地区的有针对性的公共卫生干预措施可以帮助管理LI爆发并降低死亡率.

科学领域:

流行病学流行病学
公共卫生公共卫生
传染病监测传染病监测传染病

背景情况:

下呼吸道感染,包括类似流感的疾病 (ILI),是全球死亡的重要原因.
了解ILI的空间和时间模式对于有效的公共卫生战略至关重要.

研究的目的:

确定伊朗县级ILI发病率高风险的地理区域.
分析COVID-19大流行前四年的ILI趋势.

主要方法:

从"伊朗流感监测系统 (IISS) " (2015年3月 - 2019年3月) 分析了109,167份ILI通知.
利用空间扫描统计数据来检测显著的空间,时间和空间时间集群的ILI病例.
检查了人口统计数据,流感测试率和病例死亡率 (CFR).

主要成果:

男性的病例死亡率 (CFR) 比女性高得多 (3.28%对2.46%).
流感A型是主要的菌株 (79.15%),其中H1N1亚型的CFR最高 (8.06%).
胡兹斯坦,法斯,克尔曼,雅兹德,阿尔博兹,德黑兰和吉兰等省份在特定时期报告了最高的ILI发病率,高峰CFR与高峰发病率相吻合.

结论:

在伊朗,在COVID-19之前,已经发现了重要的空间和时间LI集群.
调查结果强调了在高风险省份需要量身定制的公共卫生干预措施,包括加强监测和疫苗接种.
在确定的高风险地区有针对性的资源分配可以改善ILI爆发的管理和控制.

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