Department of Geography, College of Science, National Taiwan University, Taipei, Taiwan.
Int J Infect Dis. 2010 Apr;14(4):e334-43. doi: 10.1016/j.ijid.2009.06.006. Epub 2009 Aug 27.
This study aimed to examine whether spatial-temporal patterns of dengue can be used to identify areas at risk of dengue hemorrhagic fever (DHF).
Three indices - probability of case-occurrence, mean duration per wave, and transmission intensity - were used to differentiate eight local spatial-temporal patterns of dengue during the 2002 epidemic in Kaohsiung, Taiwan. DHF densities (DHF cases/km(2) per 100 dengue cases) in each spatial-temporal typed area were compared.
Areas with three high indices correlated with the highest DHF density: (1) high transmission intensity only; (2) long duration of wave only, and (3) high transmission intensity plus long duration of wave. However, cumulative incidences of dengue cases were not correlated with DHF densities.
Three spatial-temporal indices of dengue could provide useful information to identify areas at high risk of DHF.
本研究旨在探讨登革热时空模式是否可用于识别登革出血热(DHF)高危地区。
在台湾高雄市 2002 年的登革热流行期间,使用三个指标——病例发生概率、每波持续时间均值和传播强度,对 8 种局部时空登革热模式进行区分。比较各时空类型区域的 DHF 密度(每 100 例登革热病例中的 DHF 病例数 /km²)。
三个高指标区域与最高 DHF 密度相关:(1)仅高传播强度;(2)仅波持续时间长,以及(3)高传播强度加长波持续时间。然而,登革热病例的累积发生率与 DHF 密度无关。
登革热的三个时空指标可提供有用信息,以识别 DHF 高危地区。