Department of Infectious Diseases Epidemiology, Centre for Epidemiology and Microbiology, National Institute of Public Health, Šrobárova 49/48, 100 00, Prague, Czech Republic.
Department of Epidemiology and Biostatistics, Third Faculty of Medicine, Charles University, Prague, Czech Republic.
BMC Public Health. 2021 Jan 6;21(1):55. doi: 10.1186/s12889-020-10122-8.
The aim of our study was to analyse the influence of air temperature and implemented veterinary measures on salmonellosis incidence in the Czech Republic (CZ).
We conducted a descriptive analysis of salmonellosis as reported to the Czech national surveillance system during 1998-2017 and evaluated the influence of applied veterinary measures (started in January 2008) on salmonellosis incidence by comparing two 9-year periods (1998-2006, 2009-2017). Using a generalized additive model, we analysed association between monthly mean air temperature and log-transformed salmonellosis incidence over the entire twenty-year period.
A total of 410,533 salmonellosis cases were reported during the study period in the CZ. Annual mean incidences of salmonellosis were 313.0/100,000 inhabitants before and 99.0/100,000 inhabitants after implementation of the veterinary measures. The time course of incidence was non-linear, with a sharp decline during 2006-2010. Significant association was found between disease incidence and air temperature. On average, the data indicated that within a common temperature range every 1 °C rise in air temperature contributed to a significant 6.2% increase in salmonellosis cases.
Significant non-linear effects of annual trend, within-year seasonality, and air temperature on the incidence of salmonellosis during 1998-2017 were found. Our study also demonstrates significant direct effect of preventive veterinary measures taken in poultry in reducing incidence of human salmonellosis in the CZ. The annual mean number of salmonellosis cases in the period after introducing the veterinary measures was only 32.5% of what it had been in the previous period.
本研究旨在分析捷克共和国(CZ)的气温和已实施的兽医措施对沙门氏菌病发病率的影响。
我们对 1998-2017 年向捷克国家监测系统报告的沙门氏菌病进行了描述性分析,并通过比较两个 9 年期间(1998-2006 年和 2009-2017 年)评估了已实施的兽医措施(2008 年 1 月开始)对沙门氏菌病发病率的影响。使用广义加性模型,我们分析了整个二十年期间每月平均气温与对数转换的沙门氏菌病发病率之间的关联。
在研究期间,CZ 共报告了 410,533 例沙门氏菌病病例。在实施兽医措施之前,每年的平均发病率为 313.0/100,000 居民,之后为 99.0/100,000 居民。发病率的时间过程是非线性的,2006-2010 年急剧下降。发现疾病发病率与气温之间存在显著关联。平均而言,数据表明在常见温度范围内,气温每升高 1°C,沙门氏菌病病例增加 6.2%。
在 1998-2017 年期间,发现了年度趋势、年内季节性和气温对沙门氏菌病发病率的显著非线性影响。我们的研究还表明,在禽类中采取的预防性兽医措施对降低 CZ 人类沙门氏菌病的发病率具有显著的直接影响。在引入兽医措施后的时期,沙门氏菌病的年平均病例数仅为前一时期的 32.5%。