2007 - 2013年巴西南里奥格兰德州阿雷格里港的人感染钩端螺旋体病：确诊病例特征及空间分布
Human leptospirosis in Porto Alegre, Rio Grande do Sul, Brazil, 2007-2013: characterization of confirmed cases and spatial distribution.
作者信息
Magalhães Vivyanne Santiago, Acosta Lisiane Morelia Weide
机构信息
Secretaria de Estado da Saúde do Rio Grande do Sul, Escola de Saúde Pública, Porto Alegre, RS, Brasil.
Secretaria Municipal de Saúde de Porto Alegre, Coordenadoria Geral de Vigilância em Saúde, Porto Alegre, RS, Brasil.
出版信息
Epidemiol Serv Saude. 2019 Jul 29;28(2):e2018192. doi: 10.5123/S1679-49742019000200019.
OBJECTIVE
to characterize confirmed human leptospirosis cases resident in Porto Alegre, Rio Grande do Sul, Brazil, between 2007 and 2013, and their spatial distribution.
METHODS
this was a descriptive study of cases registered on the Notifiable Diseases Information System; we investigated neighborhoods and areas in the catchment area of Health Units (US) with highest case occurrence, using spatial analysis as per the Kernel technique.
RESULTS
228 cases were confirmed in the period, with cumulative incidence of 2.3 cases/100,000 inhabitants; the majority were adult males (81.6%), economically active (82.5%) and had low schooling (45.8%); the main occupations were recyclable waste collector (15.8%) and builder/builder's mate (15.2%); six priority US were identified for leptospirosis control and prevention actions.
CONCLUSION
the epidemiological profile and spatial distribution of cases suggest that there continue to be environmental risk factors favoring human leptospirosis occurrence in these areas.
目的
描述2007年至2013年间居住在巴西南里奥格兰德州阿雷格里港的确诊人类钩端螺旋体病病例及其空间分布情况。
方法
这是一项对法定传染病信息系统登记病例的描述性研究；我们利用核密度估计技术进行空间分析，调查了卫生单位（US）集水区内病例发生率最高的社区和地区。
结果
在此期间共确诊228例病例，累积发病率为2.3例/10万居民；大多数为成年男性（81.6%），有经济活动能力（82.5%），且受教育程度低（45.8%）；主要职业为可回收垃圾收集工（15.8%）和建筑工人/建筑工人助手（15.2%）；确定了六个优先卫生单位，用于开展钩端螺旋体病防控行动。
结论
病例的流行病学特征和空间分布表明，这些地区仍存在有利于人类钩端螺旋体病发生的环境危险因素。
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