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[科特迪瓦常规卫生信息系统中一种被忽视的热带病的最新情况:雅司病,2001年至2011年]

[Update on a neglected tropical disease from the routine health information system in Côte d'Ivoire: Yaws, 2001 to 2011].

作者信息

Konan D J P, Aka J, Yao K J, Kouassi-Gohou V, Yao K E, Faye-Kette H

机构信息

Laboratoire de biostatistique et d'informatique médicale, 22 BP 1041, Abidjan 22, Côte d'Ivoire, Institut national de santé publique, Abidjan, Côte d'Ivoire.

Laboratoire de biostatistique et d'informatique médicale, 22 BP 1041, Abidjan 22, Côte d'Ivoire, Direction de l'information et de la planification, Abidjan, Côte d'Ivoire.

出版信息

Med Sante Trop. 2013 Oct-Dec;23(4):433-8. doi: 10.1684/mst.2013.0252.

Abstract

GOAL

The aim of this work is to describe the epidemiological characteristics of yaws in Côte d'Ivoire from 2001 to 2011, by data from the routine health information system.

METHODS

This retrospective study was conducted from available health statistics from 2001 to 2011.

RESULTS

From 2001 to 2006, the completeness of the regional health statistics was below 50%, while afterwards it exceeded 70% in all regions. The incidence rate of yaws in hospitals has declined from 44 to 14.8 per 100 000 population from 2002 to 2011. Two regional offices still reported highly endemic areas rates, four times higher than the national incidence.

CONCLUSION

It appears that the action of donors has helped to improve the performance of the routine health information system in Côte d'Ivoire. Additionally, yaws remains endemic. The reduced incidence in hospitals is probably due to the reduction in their use by the population; the real population incidence is undoubtedly higher. A seroprevalence survey would make it possible to focus more accurately the upcoming mass treatment campaigns, under the aegis of WHO, to eradicate yaws.

摘要

目标

本研究旨在通过常规卫生信息系统的数据,描述2001年至2011年期间科特迪瓦雅司病的流行病学特征。

方法

本回顾性研究采用了2001年至2011年的现有卫生统计数据。

结果

2001年至2006年期间,区域卫生统计数据的完整性低于50%,而此后所有地区均超过70%。2002年至2011年期间,医院雅司病发病率从每10万人44例降至14.8例。仍有两个地区办事处报告高流行区发病率,比全国发病率高四倍。

结论

捐助方的行动似乎有助于提高科特迪瓦常规卫生信息系统的绩效。此外,雅司病仍然流行。医院发病率下降可能是由于民众就诊率降低;实际的人群发病率无疑更高。血清阳性率调查将有助于更准确地确定即将在世卫组织支持下开展的根除雅司病大规模治疗运动的重点。

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