Feng Jie, Zhang Chi, Pang Bowen, Li Meng, Lv Xihong, Yao Ye
Center for Disease Control and Prevention of Songjiang District, Shanghai (Health Supervision Institute of Songjiang District), Shanghai, China.
Institute of Public Health, Fudan University, Shanghai, China.
Front Public Health. 2025 Aug 11;13:1646283. doi: 10.3389/fpubh.2025.1646283. eCollection 2025.
Infectious diarrhea, as one of the oldest infectious diseases, has been fought against by people for hundreds of years. From changing lifestyle habits to developing new drugs, people have been tirelessly searching for ways to reduce the burden of diarrhea. This study evaluated the impact of cockroach control intervention on infectious diarrhea from the perspective of public health and explored influencing factors, providing practical suggestions for implementation in various regions.
2,471 positive cases of diarrhea and 14,788 outpatient visits were included for analysis. Using the annual cockroach control intervention as the interruption time point, we observed the number of cases and visits for 12 months before and after, established interruption time series to evaluate the impact of cockroach control intervention on diarrhea in the population, and used hypothesis test to determine potential influencing factors.
Conducting an annual cockroach control intervention in Shanghai Songjiang District help reduce the number of diarrhea cases by 23.58% and the number of outpatient visits by 10.12% in the following year on average from 2020 to 2022. The temperature during the intervention in June 2022 showed a significant increase compared to 2020 and 2021; The effectiveness of cockroach control interventions was almost entirely reflected in , while were not affected.
Under the combination of local natural conditions and comprehensive prevention measures, regular cockroach control interventions have a promising supporting effect on reducing the disease burden of diarrhea in the population and a certain effect on reducing the symptom burden. However, the intervention effect is affected by numerous factors such as temperature and cockroach species. If local baseline data can be consulted before intervention to select targeted intervention time and prevention methods, it is easier to achieve ideal results.
感染性腹泻作为最古老的传染病之一，人类与之抗争已有数百年历史。从改变生活方式习惯到研发新药，人们一直在不懈地寻找减轻腹泻负担的方法。本研究从公共卫生角度评估蟑螂防治干预对感染性腹泻的影响，并探究影响因素，为各地区实施提供实用建议。
纳入2471例腹泻阳性病例和14788例门诊就诊病例进行分析。以年度蟑螂防治干预作为中断时间点，观察前后12个月的病例数和就诊数，建立中断时间序列以评估蟑螂防治干预对人群腹泻的影响，并采用假设检验确定潜在影响因素。
2020年至2022年期间，在上海松江区开展年度蟑螂防治干预，平均使次年腹泻病例数减少23.58%，门诊就诊数减少10.12%。2022年6月干预期间的温度与2020年和2021年相比显著升高；蟑螂防治干预的效果几乎完全体现在[此处原文缺失部分内容]，而[此处原文缺失部分内容]未受影响。
在当地自然条件与综合预防措施相结合的情况下，定期进行蟑螂防治干预对减轻人群腹泻疾病负担有良好的支持作用，对减轻症状负担也有一定效果。然而，干预效果受温度和蟑螂种类等众多因素影响。若在干预前能参考当地基线数据以选择有针对性的干预时间和预防方法，则更容易取得理想效果。
