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阿根廷科尔多瓦市2016年登革热疫情分析报告

Analytical report of the 2016 dengue outbreak in Córdoba city, Argentina.

作者信息

Rotela Camilo, Lopez Laura, Frías Céspedes María, Barbas Gabriela, Lighezzolo Andrés, Porcasi Ximena, Lanfri Mario A, Scavuzzo Carlos M, Gorla David E

机构信息

Instituto de Altos Estudios Espaciales Mario Gulich, Comisión Nacional de Actividades Espaciales, Centro Espacial Teófilo Tabanera, Córdoba.

出版信息

Geospat Health. 2017 Nov 6;12(2):564. doi: 10.4081/gh.2017.564.

Abstract

After elimination of the Aedes aegypti vector in South America in the 1960s, dengue outbreaks started to reoccur during the 1990s; strongly in Argentina since 1998. In 2016, Córdoba City had the largest dengue outbreak in its history. In this article we report this outbreak including spatio-temporal analysis of cases and vectors in the city. A total of 653 dengue cases were recorded by the laboratory-based dengue surveillance system and georeferenced by their residential addresses. Case maps were generated from the epidemiological week 1 (beginning of January) to week 19 (mid-May). Dengue outbreak temporal evolution was analysed globally and three specific, high-incidence zones were detected using Knox analysis to characterising its spatio-temporal attributes. Field and remotely sensed data were collected and analysed in real time and a vector presence map based on the MaxEnt approach was generated to define hotspots, towards which the pesticide- based strategy was then targeted. The recorded pattern of cases evolution within the community suggests that dengue control measures should be improved.

摘要

20世纪60年代南美洲消除埃及伊蚊病媒后,登革热疫情在20世纪90年代开始再次出现;自1998年以来在阿根廷尤为严重。2016年,科尔多瓦市发生了其历史上最大规模的登革热疫情。在本文中,我们报告了此次疫情,包括对该市病例和病媒的时空分析。基于实验室的登革热监测系统共记录了653例登革热病例,并根据其居住地址进行了地理定位。病例地图是从第1个流行病学周(1月初)到第19个流行病学周(5月中旬)生成的。对登革热疫情的时间演变进行了全局分析,并使用诺克斯分析检测了三个特定的高发病区,以表征其时空属性。实时收集和分析了实地和遥感数据,并基于最大熵方法生成了病媒存在地图,以确定热点区域,然后将基于杀虫剂的策略针对这些热点区域。社区内记录的病例演变模式表明,登革热控制措施应加以改进。

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