School of Public Health, Research Center for Medicine and Social Development and Innovation Center for Social Risk Governance in Health, Chongqing Medical University, Chongqing, China.
Chongqing Municipal Center for Disease Control and Prevention, Chongqing, China.
J Infect Dev Ctries. 2022 Aug 30;16(8):1343-1350. doi: 10.3855/jidc.16475.
Chongqing is among the areas with the highest rubella incidence rates in China. This study aimed to analyze the temporal distribution characteristics of rubella and establish a forecasting model in Chongqing, which could provide a tool for decision-making in the early warning system for the health sector.
The rubella monthly incidence data from 2004 to 2019 were obtained from the Chongqing Center of Disease and Control. The incidence from 2004 to June 2019 was fitted using the seasonal autoregressive integrated moving average (SARIMA) model and the back-propagation neural network (BPNN) model, and the data from July to December 2019 was used for validation.
A total of 30,083 rubella cases were reported in this study, with a significantly higher average annual incidence before the nationwide introduction of rubella-containing vaccine (RCV). The peak of rubella notification was from April to June annually. Both SARIMA and BPNN models were capable of predicting the expected incidence of rubella. However, the linear SARIMA model fits and predicts better than the nonlinear BPNN model.
Based on the results, rubella incidence in Chongqing has an obvious seasonal trend, and SARIMA (2,1,1) × (1,1,1) 12 model can predict the incidence of rubella well. The SARIMA model is a feasible tool for producing reliable rubella forecasts in Chongqing.
重庆是中国风疹发病率最高的地区之一。本研究旨在分析重庆风疹的时间分布特征,并建立一个预测模型,为卫生部门的预警系统提供决策工具。
从重庆市疾病预防控制中心获取 2004 年至 2019 年的风疹逐月发病率数据。使用季节性自回归求和移动平均(SARIMA)模型和反向传播神经网络(BPNN)模型拟合 2004 年至 2019 年 6 月的数据,并验证 2019 年 7 月至 12 月的数据。
本研究共报告 30083 例风疹病例,全国推广含风疹疫苗(RCV)前平均年发病率明显较高。风疹报告的高峰每年 4 月至 6 月。SARIMA 和 BPNN 模型都能够预测风疹的预期发病率。然而,线性 SARIMA 模型比非线性 BPNN 模型拟合和预测效果更好。
根据研究结果,重庆风疹发病率具有明显的季节性趋势,SARIMA(2,1,1)×(1,1,1)12 模型可以很好地预测风疹发病率。SARIMA 模型是在重庆产生可靠风疹预测的可行工具。