Jafarzadeh Mohammad, Habibzadeh Shahram, Moradi-Asl Eslam, Mohamadshahi Jafar, Abishvand Javad, Nakhostin Babak
Department of Infectious Disease and Tropical Medicine, Ardabil University of Medical Sciences, Ardabil, Iran.
Department of Public Health, School of Public Health, Ardabil University of Medical Sciences, Ardabil, Iran.
Health Serv Res Manag Epidemiol. 2023 Nov 8;10:23333928231211412. doi: 10.1177/23333928231211412. eCollection 2023 Jan-Dec.
Brucellosis is one of the most prevalent infectious diseases in the world that infects humans directly through contaminated livestock or indirectly through animal products and induces high medical and economic damage annually.
Using geographic information system (GIS) software to determine the hot spots of brucellosis and the spatial correlation and type of disease distribution.
We extracted the incidence cases of the disease from 2016 to 2020 in this retrospective cross-sectional study using the disease registration system of Ardabil University of Medical Sciences. The interpolation method (IDW) was employed for spatial analysis and disease distribution and determination of hotspot points, Moran I and General G analysis were used to determine spatial autocorrelation at a significant level ( < 0.05). GIS software 10.4.1 was applied to determine areas.
2679 cases of brucellosis were diagnosed in the province during the study that 96.97% were Iranian, 2.95% Azerbaijani, and 0.08% were Iraqi. 40.5% of patients were female and 59.5% were male. The highest number of infected cases was reported in 2020 with 29.2% and the lowest number was reported in 2016 with 16%. Rural areas had a high prevalence in terms of distribution and the north of Aslanduz and the central part of Sarein were determined as two significant rural areas of the disease. The trend of disease was increasing from east to west of the province.
Brucellosis is very widespread in rural areas in Ardabil Province. Ardabil University of Medical Sciences is required to take practical and educational measures to control this disease in high-risk centers. It is expected to take measures in order to educate villagers.
布鲁氏菌病是世界上最普遍的传染病之一，可通过受污染的牲畜直接感染人类，或通过动物产品间接感染人类，每年都会造成巨大的医疗和经济损失。
使用地理信息系统（GIS）软件确定布鲁氏菌病的热点地区以及疾病分布的空间相关性和类型。
在这项回顾性横断面研究中，我们使用阿尔达比勒医科大学的疾病登记系统提取了2016年至2020年该疾病的发病病例。采用反距离权重法（IDW）进行空间分析、疾病分布和热点地区的确定，使用莫兰指数（Moran I）和广义G分析在显著水平（<0.05）下确定空间自相关性。应用GIS软件10.4.1确定区域。
在研究期间，该省共诊断出2679例布鲁氏菌病病例，其中96.97%为伊朗人，2.95%为阿塞拜疆人，0.08%为伊拉克人。40.5%的患者为女性，59.5%为男性。2020年报告的感染病例数最多，占29.2%，2016年报告的病例数最少，占16%。就分布而言，农村地区患病率较高，阿斯兰杜兹北部和萨雷因中部被确定为该疾病的两个重要农村地区。该疾病的趋势是从该省东部向西部增加。
布鲁氏菌病在阿尔达比勒省的农村地区非常普遍。阿尔达比勒医科大学需要采取实际和教育措施，在高风险中心控制这种疾病。预计将采取措施对村民进行教育。
