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评估矢量指数和气候因素对斯里兰卡甘帕哈区登革热发病率的影响。

Evaluation of the Effects of Vector Indices and Climatic Factors on Dengue Incidence in Gampaha District, Sri Lanka.

机构信息

Molecular Medicine Unit, Faculty of Medicine, University of Kelaniya, Ragama, Sri Lanka.

Department of Parasitology, Faculty of Medicine, University of Kelaniya, Ragama, Sri Lanka.

出版信息

Biomed Res Int. 2019 Jan 31;2019:2950216. doi: 10.1155/2019/2950216. eCollection 2019.

Abstract

Constant monitoring of vector indices such as mosquito abundance and ovitrap data is important for the control of dengue epidemics. Therefore, the current study attempted to evaluate the effect of larval and climatic factors on the incidence of dengue outbreaks in the Gampaha district. Based on the distribution of previously reported dengue cases, 34 households in Narangodapaluwa PHI area, Ragama, Sri Lanka, were selected randomly, and entomological surveillance was done fortnightly using adult mosquito catches and larval surveillance techniques for a period of two years. Further, weekly ovitrap surveillance was conducted for one year, by maintaining four ovitraps in a single house, two indoors and two outdoors at ground and at a height of 1.5-2 m. Based on the findings, larval indices, namely, Breteau index (BI), House index (HI), and Container index (CI), were calculated, along with the Ovitrap index (OI). The study area was positive for with an adult capturing range of 1~15/34 households. BI initially remained < 3%, which subsequently decreased up to 0. No significant difference in OI was found between the ovitraps placed at ground level and at a height of 1.5-2m (p>0.05), 95% level of confidence. The OI varied from 56.9% to 94.7% during the study period of 12 months, indicating two peaks at the monsoons. Statistics of one-way ANOVA revealed a significant difference in the monthly OI during the study period (p≤0.001) with two peaks representing the monsoonal rainfall patterns. Pearson's correlation analysis revealed that the association between dengue cases and larval indices (BI, CI, HI, and OI) and meteorological parameters was not significant (p<0.05). Migration of mosquitoes and patients could be considered as possible factors affecting the absence of a significant relationship.

摘要

持续监测蚊虫密度等指标,如蚊虫数量和诱卵器数据,对于控制登革热疫情至关重要。因此,本研究试图评估幼虫和气候因素对兰卡加勒地区登革热爆发的影响。基于先前报告的登革热病例分布情况,在斯里兰卡拉嘎马的 Narangodapaluwa PHI 地区随机选择了 34 户家庭,并进行了为期两年的双周成蚊捕获和幼虫监测。此外,还进行了为期一年的每周诱卵器监测,在每个家庭中设置四个诱卵器,两个室内和两个室外,一个放在地面上,一个放在 1.5-2 米高的地方。根据研究结果,计算了幼虫指数,即布雷图指数(BI)、房屋指数(HI)和容器指数(CI),以及诱卵器指数(OI)。研究区域的成蚊捕获范围为 1~15/34 户,呈阳性。BI 最初保持在<3%,随后降至 0。放置在地面和 1.5-2m 高度的诱卵器之间的 OI 无显著差异(p>0.05,95%置信区间)。在 12 个月的研究期间,OI 从 56.9%到 94.7%不等,表明在季风期间有两个高峰。单因素方差分析的统计结果显示,在研究期间,OI 每月存在显著差异(p≤0.001),有两个高峰代表季风降雨模式。Pearson 相关分析显示,登革热病例与幼虫指数(BI、CI、HI 和 OI)和气象参数之间的关联不显著(p<0.05)。蚊子和患者的迁移可能被认为是影响这种关系不显著的可能因素。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d0a/6374796/f160a164d984/BMRI2019-2950216.001.jpg

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