尼泊尔结核病和登革热的空间异构性
Roshan Kumar Mahato1, Kittipong Sornlorm2, Kyaw Min Htike1
1Faculty of Public Health, Khon Kaen University, Khon Kaen, Thailand.
Scientific reports
|November 20, 2025
概括
时空分析发现尼泊尔的高风险结核病 (TB) 和登革热集群. 针对性公共卫生干预对于这些已识别的热点至关重要,特别是在城市地区,以有效地管理疾病负担.
科学领域:
- 流行病学 流行病学
- 公共卫生 公共卫生
- 空间分析 空间分析
背景情况:
- 尼泊尔面临着结核病 (TB) 和登革热等重大公共卫生挑战.
- 了解这些疾病的空间和时间分布对于有效的干预至关重要.
研究的目的:
- 在尼泊尔确定结核病 (TB) 和登革热的时空集群.
- 为资源优先安排和有针对性的公共卫生干预提供数据.
主要方法:
- 使用Kulldorff的时空扫描统计数据进行回顾性分析.
- 对结核病 (FY 2020-2023) 和登革热 (2020-2023) 病例数据应用的离散波桑概率模型.
- 分析使用了一个空间窗口,覆盖高达50%的风险人口.
主要成果:
- 在尼泊尔,结核病和登革热发病率存在显著的地理差异.
- 在2022-2023财年,在罗塔哈特,巴拉,萨拉希,马霍塔里和加德满都确定了高风险结核病集群,特别是在城市地区.
- 登革热发病率特别高在Sankhuwasabha,Lalitpur,Bhaktapur和加德满都,在2022年城市增加.
结论:
- 该研究确定了尼泊尔的结核病和登革热高风险集群.
- 在已确定的高风险地区,迫切需要针对性的公共卫生干预措施.
- 持续的时空分析对于调整公共卫生响应以适应不断变化的疾病模式至关重要.
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