Strnad P, Svandová E
Cesk Epidemiol Mikrobiol Imunol. 1989 Sep;38(5):260-72.
Various information systems have existed in the hygiene service for a number of years and the outputs of these systems are partially used. By interconnection (comprehensive evaluation) of these systems objective information on the relationship of various factors could be obtained. For the epidemic season 1985/86 (September-April) the outputs of information systems "Reports on acute respiratory diseases" (ARD), "Contamination of the atmosphere in the CSR", "Meteofond" were analyzed in a comprehensive way. The incidence of acute respiratory diseases, the sulphur dioxide concentration, the concentration of dust and nitrogen oxides in the air, the temperature and the moisture of the atmosphere were evaluated. The incidence of acute respiratory diseases, which markedly depends on the season, is recorded most accurately in the age group of 0-5 years. The most marked excesses of the incidence are associated as a rule with the circulation of the influenza virus in the population. The sulphur dioxide concentration is also dependent on the season, similarly as the concentration of dust and the temperature and moisture of the air assessed at 2 p.m. There are some identical features between the level of the incidence of acute respiratory diseases, the atmospheric concentration of the mentioned substances and values of the mentioned climatic factors in the course of the epidemic season of acute respiratory diseases. Causal relationships between the incidence of acute respiratory diseases and all mentioned factors must be, however, evaluated with great care.
多年来,卫生服务领域存在着各种信息系统,这些系统的产出得到了部分利用。通过将这些系统相互连接(综合评估),可以获得有关各种因素之间关系的客观信息。对于1985/86年的流行季节(9月至次年4月),对“急性呼吸道疾病报告”(ARD)、“捷克斯洛伐克社会主义共和国大气污染情况”、“气象数据库”等信息系统的产出进行了综合分析。评估了急性呼吸道疾病的发病率、空气中二氧化硫浓度、灰尘和氮氧化物浓度、气温以及大气湿度。急性呼吸道疾病的发病率明显取决于季节,在0至5岁年龄组中记录最为准确。发病率的最显著增加通常与人群中流感病毒的传播有关。二氧化硫浓度也取决于季节,下午2点评估的灰尘浓度、气温和湿度情况也类似。在急性呼吸道疾病流行季节期间,急性呼吸道疾病发病率水平、上述物质的大气浓度以及上述气候因素的值之间存在一些相同特征。然而,必须非常谨慎地评估急性呼吸道疾病发病率与所有上述因素之间的因果关系。