泰国南部麻风的时空空间模式:在25年内确定高负担地区
Dasseema Muwannasing1, Benjamin Atta Owusu2, Phattrawan Tongkumchum3
1Pikun Thong Royal Development Study Center, Narathiwat 96000, Thailand; Office of Disease Prevention and Control Region 12, Songkhla 90000, Thailand.
Spatial and spatio-temporal epidemiology
|November 28, 2025
概括
尽管泰国全国消除了麻风病,但南部省份仍有持续的病例. 高负担地区需要有针对性的干预和加强监督,以实现地方消除.
科学领域:
- 流行病学 流行病学
- 公共卫生 公共卫生
- 传染病控制和控制传染病
背景情况:
- 泰国已经在全国范围内消除了麻风.
- 在农村地区,特别是南部省份,偶发性麻风病例仍然存在.
- 了解时空模式对于有针对性的控制至关重要.
研究的目的:
- 调查25年 (1999-2023) 时间空间分布和卫生区域12的麻风病负担.
- 确定需要集中干预的高负担地区.
- 分析麻风的发生和发病率的趋势.
主要方法:
- 使用监测数据 (1999-2023) 进行回顾性,基于人口的横截面研究.
- 在七个南部省份的77个地区进行了分析.
- 一种两步方法,将逻辑和逻辑线性回归模型用于发生和发病率.
主要成果:
- 报告了1233例新的麻风病例;中位数年龄为41岁,64%是男性,73.2%是多菌.
- 发病率随着年龄的增长而增加,在70岁以上的人群中达到顶峰.
- 麻风病的发生和发病率呈现下降趋势.
- 帕塔尼的四个地区和纳拉西瓦特的七个地区被确定为高负担地区.
结论:
- 实现了全国性麻风根除,但在一些南部地区,地方性麻风根除仍然是一个挑战.
- 加强监测和有针对性的干预措施是必要的在次国家一级.
- 专注于高负担地区对于彻底根除麻风是必不可少的.
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