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2023年埃塞俄比亚西北部阿姆哈拉州东戈贾姆地区麻疹疾病的趋势与预测:一项横断面研究

Trend and forecast of measles disease, in East Gojjam Zone, Amhara Region, Northwest Ethiopia, 2023: a crossectional study.

作者信息

Wudu Habitamu, Alemu Chekol, Minalu Werkneh, Berelie Haymanot, Bantie Dagnachew

机构信息

Department of Statistics, College of Natural and Computational Sciences, Gambella University, Gambella, Ethiopia.

Departments of Public Health, College of Medicine and Health Sciences, Dejen Primary Hospital, East Gojjam Zone, Dejen Woreda, Bahir Dar, Ethiopia.

出版信息

BMC Res Notes. 2024 Dec 24;17(1):383. doi: 10.1186/s13104-024-07057-3.

Abstract

BACKGROUND

Measles is a very contagious illness that can be clinically diagnosed and intervened quickly. It is caused by the measles virus Morbillivirus. The disease has a case fatality rate of 5% to 10% in the sub-Saharan region. Recent information on measles forecasting is limited in this study area. Therefore, this study was aimed to assess the five-year trend and next five-year prediction of measles disease in East Gojjam zone, Amhara National Regional State (ANRS), Ethiopia, 2023.

METHODS

A descriptive study using case based surveillance data analysis in the East Gojjam zone was conducted. Five-year data (January 1/2018-December 30/2022) was extracted from the WHO database. ARIMA (3, 1, 1) model was used for disease forecasting for the next 5 years of the zone (2023-2027).

RESULTS

For the study, 1003 participants in total were enlisted. 12.3% of the subjects were IgM positive. About 59.4% and 1.2% were epidemiologically linked and died subjects, respectively. Many of the cases (54.2%) occurred in the March season and the lowest (1%) in December. For the next five years (2024-2027), it is predicted that the number of cases will rise gradually in fluctuation.

CONCLUSION

The disease had an upward trend over the five-year period, and for the next consecutive years, there will be a consistent increase in the number of cases in the zone. It is recommended that the East Gojjam Zone Health Office and different stakeholders have to monitor and evaluate the vaccination status of target children and vaccination coverage and strengthen the surveillance system in the dry-hot season, which is valuable for disease control.

摘要

背景

麻疹是一种传染性很强的疾病,可通过临床诊断并迅速进行干预。它由麻疹病毒属的麻疹病毒引起。在撒哈拉以南地区,该疾病的病死率为5%至10%。在本研究区域,关于麻疹预测的最新信息有限。因此,本研究旨在评估埃塞俄比亚阿姆哈拉民族州(ANRS)东戈贾姆地区2023年麻疹疾病的五年趋势及未来五年预测情况。

方法

在东戈贾姆地区开展了一项基于病例监测数据分析的描述性研究。从世界卫生组织数据库中提取了五年的数据(2018年1月1日至2022年12月30日)。采用自回归积分滑动平均模型(ARIMA,3,1,1)对该地区未来5年(2023 - 2027年)的疾病进行预测。

结果

本研究共纳入1003名参与者。12.3%的受试者IgM呈阳性。分别约有59.4%和1.2%的受试者在流行病学上有关联且死亡。许多病例(54.2%)发生在3月,12月的病例数最少(1%)。预计在接下来的五年(2024 - 2027年),病例数将在波动中逐渐上升。

结论

该疾病在五年期间呈上升趋势,并且在接下来的连续几年中,该地区的病例数将持续增加。建议东戈贾姆地区卫生办公室和不同利益相关者监测和评估目标儿童的疫苗接种状况及疫苗接种覆盖率,并在干热季节加强监测系统,这对疾病控制具有重要意义。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/73c9/11669246/033f1906ad04/13104_2024_7057_Fig1_HTML.jpg

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