在利比亚十年内 (2015年至2024年) 绘制结核病的地理地图和时空模式
Mohamed Ali Daw1,2, Abdallah H El-Bouzedi3, Saleh Ali Abumahara4
1Department of Medical Microbiology & Immunology, Faculty of Medicine, University of Tripoli, Tripoli, Libya.
Frontiers in epidemiology
|September 29, 2025
概括
利比亚的结核病 (TB) 发病率在2015-2024年间呈现下降趋势,鉴定出明显的地理模式和高风险集群. 这种映射有助于制定有针对性的结核病控制策略.
科学领域:
- 流行病学 流行病学
- 公共卫生 公共卫生
- 地理信息系统 (GIS) 是指地理信息系统.
背景情况:
- 结核病 (TB) 仍然是一个重大的全球卫生挑战,特别是在利比亚等发展中国家.
- 世界卫生组织将利比亚归类为中度结核病负担的国家,2011年结核病发病率为每10万人中有40人.
- 在大型国家,地理流行病学对于有效预防结核病至关重要.
研究的目的:
- 确定利比亚结核病发病率的地理和时空模式.
- 从2015年到2024年分析跨市镇和地区的结核病分布.
- 提供数据,以提供明智的结核病控制政策制定.
主要方法:
- 一项回顾性横截面研究,利用2015-2024年国家结核病监测系统数据.
- 创建了Choropleth地图,以可视化每10万人口的结核病例报告率 (CNR).
- 进行了空间分析,包括局部莫兰的I,时间和时空分析.
主要成果:
- 报告共有26,478例结核病例,平均年率为40.29/100,000.
- 2015年观察到的发病率最高,到2024年出现下降趋势.
- 男性的结核病报告率明显高于女性. 东部地区报告了最高的CNR,具有显著的地理差异和高和低发病率地区的集群.
结论:
- 该研究显示,从2015年至2024年,利比亚的TB CNR病例在可识别的高风险和低风险地理区域之外,呈下降趋势.
- 地理空间绘图突出显示了结核病分布在全国和随着时间的推移中的显著差异.
- 这些发现为实施有针对性的国家和区域结核病控制政策提供了关键的见解.
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