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泰国南部某城市地区的环境因素与登革热和登革出血热发病率

Environmental factors and incidence of dengue fever and dengue haemorrhagic fever in an urban area, Southern Thailand.

作者信息

Thammapalo S, Chongsuvivatwong V, Geater A, Dueravee M

机构信息

Epidemiology Unit, Faculty of Medicine, Prince of Songkla University, Songkhla, Thailand.

出版信息

Epidemiol Infect. 2008 Jan;136(1):135-43. doi: 10.1017/S0950268807008126. Epub 2007 Mar 15.

DOI:10.1017/S0950268807008126
PMID:17359563
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2870760/
Abstract

Using the enumeration district (ED) block level this study looked at the incidence of dengue fever and dengue haemorrhagic fever (DF/DHF) within the Songkhla municipality in Thailand. Each of the 146 blocks in this area were considered as study units and surveyed for their environmental characteristics. A total of 287 cases of DH/DHF occurring in the year 1998 were selected for this study and the location of their homes mapped. Clustering analysis showed point clustering of the homes (P<0.0001) which was probably due to high density habitation, without any actual prevalence of case clustering. There was no evidence of clustering of the ED blocks with an incidence of DF/DHF (P=0.32). DF/DHF incidence for each block was strongly associated with the percentages of shop-houses, brick-made houses and houses with poor garbage disposal (all P<0.01). DF/DHF control should be emphasized for the areas which have a predominance of these housing types.

摘要

本研究以泰国宋卡市的枚举区（ED）街区为单位，调查了登革热和登革出血热（DF/DHF）的发病率。该地区的146个街区均被视为研究单位，并对其环境特征进行了调查。本研究选取了1998年发生的287例DH/DHF病例，并绘制了其家庭住址分布图。聚类分析显示家庭住址存在点状聚类（P<0.0001），这可能是由于高密度居住所致，而非实际的病例聚集流行。没有证据表明ED街区存在DF/DHF发病率的聚类现象（P=0.32）。每个街区的DF/DHF发病率与商店房屋、砖砌房屋以及垃圾处理较差的房屋所占百分比密切相关（均P<0.01）。对于这些房屋类型占主导的地区，应着重强调DF/DHF的防控。