亚马逊岛上结核病的空间和流行病学绘制:COVID-19大流行病的影响
V S Silva1, B V J Gomes1, B C Nascimento1
1Faculdade de Enfermagem, Universidade Federal do Pará, Belém, PA, Brasil.
概括
COVID-19大流行影响了巴西马拉约岛的结核病 (TB) 病例报告. 在大流行期间报告的结核病例较少,可能是由于医疗保健的减少和报告不足.
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:
- 随着COVID-19大流行,全球卫生服务,包括结核病 (TB) 护理,特别是在脆弱地区受到干扰.
- 评估对结核病例分布的影响对于了解服务连续性和潜在报告不足至关重要.
研究的目的:
- 描述COVID-19大流行 (2017-2022) 之前和期间,巴西马拉约岛新增肺结核病例的地理分布.
- 分析空间模式并确定结核病病例报告率的变化.
主要方法:
- 对797个新确诊的结核病例进行定量,描述和回顾性研究.
- 使用ArcGIS和TerraView软件对通知点进行地理引用.
- 使用内核密度估计和扫描统计数据分析空间点模式.
主要成果:
- 2017年至2022年间,马拉约岛的各个市镇的结核病例分布有所不同.
- 扫描统计数据显示,与疫情期间相比,在疫情前 (2017-2019) 期间结核病例数量较多.
- 在大流行期间报告病例的减少可能表明,与孤立地区的医疗保健接入问题相关的报告不足.
结论:
- 似乎COVID-19大流行影响了马拉约岛的结核病例报告.
- 疫情期间偏远地区获得医疗保健的减少可能导致结核病发病率被低估.
- 对影响结核病例报告和获得护理的因素进行进一步调查是有必要的.
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