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[传播控制阶段湖沼型血吸虫病流行区时空分布规律分析]

[Pattern analysis of tempo-spatial distribution of schistosomiasis in marshland epidemic areas in stage of transmission control].

作者信息

Jing-Bo Xue, Shang Xia, Xia Zhang, He-Hua Hu, Qiang Wang, Yi-Biao Zhou, Shi-Zhu Li

机构信息

National Institute of Parasitic Diseases, Chinese Center for Disease Control and Prevention, Key Laboratory of Parasite and Vector Biology, Commission of Health and Family Planning, WHO Collaborating Center for Malaria, Schistosomiasis and Filariasis, Shanghai 200025, China.

Jiangling Station of Schistosomiasis Control, Hubei Province, China.

出版信息

Zhongguo Xue Xi Chong Bing Fang Zhi Za Zhi. 2016 Dec 7;28(6):624-629. doi: 10.16250/j.32.1374.2016201.

DOI:10.16250/j.32.1374.2016201
PMID:29469250
Abstract

OBJECTIVE

To investigate the tempo-spatial patterns of schistosomiasis in Jiangling County, Hubei Province, so as to identify the risk areas and provide the scientific evidence in following intervention plans for marshland epidemic areas in the stage of transmission control.

METHODS

The schistosomiasis epidemiological data in Jiangling County from 2009 to 2013 together with the related geographical information were collected and analyzed. The tempo-spatial distribution patterns were analyzed by the spatial autocorrelation analysis and spatial clustering analysis.

RESULTS

The human infection rate was decreased from 2.15% in 2009 to 0.63% in 2013, which was the historically low level. The results of tempo-spatial analysis showed that there were spatial clustering effects in human schistosomiasis infection for each of the years. The values of spatial autocorrelation index Moran's were statistically significant. Eighteen and thirty-five clusters were detected by using SatScan and FlexScan software, respectively.

CONCLUSIONS

From 2009 to 2013, the schistosomiasis endemic situation in Jiangling County presented a decline trend and reached the historical low level. The identified spatial clustering areas should be targeted as the prioritized areas for schistosomiasis control.

摘要

目的

调查湖北省江陵县血吸虫病的时空分布特征,确定血吸虫病流行的高危区域,为传播控制阶段湖沼型血吸虫病流行区的防治策略制定提供科学依据。

方法

收集2009 - 2013年江陵县血吸虫病流行病学资料及相关地理信息,采用空间自相关分析和空间聚集分析方法分析血吸虫病的时空分布特征。

结果

人群感染率由2009年的2.15%降至2013年的0.63%,处于历史较低水平。时空分析结果显示,各年份人群血吸虫病感染均存在空间聚集效应,空间自相关指数Moran's I值具有统计学意义。分别采用SatScan和FlexScan软件检测到18个和35个聚集区。

结论

2009 - 2

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