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哥伦比亚亚马逊门户部门卡克塔 2015-2018 年基孔肯雅热和寨卡的地理趋势-对公共卫生和旅行医学的影响。

Geographical trends of chikungunya and Zika in the Colombian Amazonian gateway department, Caqueta, 2015-2018 - Implications for public health and travel medicine.

机构信息

School of Veterinary Medicine and Zootechnics, Fundación Universitaria Autónoma de las Américas, Sede Pereira, Pereira, Risaralda, Colombia; Semillero de Zoonosis, Grupo de Investigación BIOECOS, Fundación Universitaria Autónoma de las Américas, Sede Pereira, Pereira, Risaralda, Colombia; Public Health and Infection Research Group, Faculty of Health Sciences, Universidad Tecnológica de Pereira, Pereira, Risaralda, Colombia; Committee on Tropical Medicine, Zoonoses and Travel Medicine, Asociación Colombiana de Infectología (ACIN), Bogotá, Colombia.

Grupo de Investigación en Ciencias Animales Macagual, Universidad de La Amazonia, Florencia, Caquetá, 180002, Colombia.

出版信息

Travel Med Infect Dis. 2020 May-Jun;35:101481. doi: 10.1016/j.tmaid.2019.101481. Epub 2019 Sep 12.

Abstract

BACKGROUND

Chikungunya (CHIKV) and Zika (ZIKV) significantly affected Latin America in the period 2015-2017. Most studies were reported from urban areas of Brazil and Colombia. In this paper we estimate Incidence rates for CHIKV and ZIKV in Caqueta, the Amazonian gateway area of Colombia, from 2015 to 2018.

METHODS

Using surveillance data of CHIKV and ZIKV in Caqueta, Colombia, incidence rates were estimated (cases/100,000 population). Sixteen geographical information systems (GIS)-based municipal maps were developed. GIS software used was Kosmo 3.0®.

RESULTS

From 1st of January 2015 to the 24th of November 2018, 825 cases of CHIK and 1079 of ZIKV were reported, yielding cumulated incidence rates of 169.42 and 221.59 cases/100,000 population respectively. In 2016, 48.7% of the CHIKV cases (402) and 96.6% of the ZIKV cases (1042) were reported. The highest number of both arboviral diseases occurred at Florencia (capital department city), 225 cases for CHIKV (127.17 cases/100,000 pop.) and 611 for ZIKV (345.34 cases/100,000 pop.).

DISCUSSION

The temporo-spatial distribution of CHIKV and ZIKV infections in Caquetá reflected the pattern of concurrent epidemics, especially in 2016. Studies using GIS-linked maps are necessary to attain accurate epidemiological analyses for public health decisions. That is also useful for an epidemiologically based assessment of traveler risks when visiting specific areas in destination countries.

摘要

背景

基孔肯雅热(CHIKV)和寨卡热(ZIKV)在 2015 年至 2017 年期间对拉丁美洲产生了重大影响。大多数研究报告来自巴西和哥伦比亚的城市地区。在本文中,我们估计了哥伦比亚亚马逊门户地区卡克塔(Caqueta)的 CHIKV 和 ZIKV 发病率,时间范围为 2015 年至 2018 年。

方法

利用哥伦比亚卡克塔(Caqueta)的 CHIKV 和 ZIKV 监测数据,估计发病率(每 10 万人中的病例数)。开发了 16 个基于地理信息系统(GIS)的市政地图。使用的 GIS 软件是 Kosmo 3.0®。

结果

从 2015 年 1 月 1 日至 2018 年 11 月 24 日,共报告了 825 例 CHIK 和 1079 例 ZIKV 病例,累积发病率分别为 169.42 和 221.59 例/10 万人口。2016 年,报告了 48.7%的 CHIKV 病例(402 例)和 96.6%的 ZIKV 病例(1042 例)。这两种虫媒病毒病的病例数最多的是弗洛伦西亚(省会城市),CHIKV 为 225 例(127.17 例/10 万人口),ZIKV 为 611 例(345.34 例/10 万人口)。

讨论

卡克塔的 CHIKV 和 ZIKV 感染的时空分布反映了同时发生的流行病模式,特别是在 2016 年。使用 GIS 链接地图进行研究对于公共卫生决策的准确流行病学分析是必要的。这对于评估旅行者在前往目的地国家特定地区时的风险也具有流行病学基础。

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