Harris S B, Glazier R, Eng K, McMurray L
Center for Studies in Family Medicine, Department of Family Medicine, University of Western Ontario in London.
Can Fam Physician. 1998 Sep;44:1869-77.
To describe disease patterns among children in an isolated aboriginal community, and to compare them with patterns found among other aboriginal and non-aboriginal Canadian children.
Retrospective review of logbooks and patient charts extracted from nursing station records for all visits to the community's nursing station between April 1, 1990, and March 31, 1991.
An isolated aboriginal community located in northwestern Ontario.
All aboriginal children younger than 5 years.
Disease-specific incidence per 100 person-years by age, sex, and season.
Upper and lower respiratory tract infections, skin conditions, otitis media, and chickenpox were the leading causes of illness. Except for chickenpox, these illnesses occurred at a significantly higher rate among infants than among children 1 to 4 years old. No important differences were found by sex for any condition, except asthma where boys predominated. Autumn and winter seasonal patterns were most evident for respiratory tract infections. The rate of illness for most conditions was higher than that reported among other aboriginal and non-aboriginal Canadian children.
The illnesses most frequently seen in these children are respiratory tract infections and skin conditions. Etiologic factors are likely to be related to multiple interacting forces (both environmental and genetic) and require further investigation.
描述一个与世隔绝的原住民社区儿童的疾病模式，并将其与其他加拿大原住民和非原住民儿童的疾病模式进行比较。
对1990年4月1日至1991年3月31日期间社区护理站所有就诊记录的日志和病历进行回顾性分析。
位于安大略省西北部的一个与世隔绝的原住民社区。
所有5岁以下的原住民儿童。
按年龄、性别和季节计算的每100人年特定疾病发病率。
上呼吸道和下呼吸道感染、皮肤病、中耳炎和水痘是主要的疾病原因。除水痘外，这些疾病在婴儿中的发病率明显高于1至4岁儿童。除哮喘以男孩为主外，任何疾病在性别上均未发现重要差异。呼吸道感染在秋冬季节最为明显。大多数疾病的发病率高于其他加拿大原住民和非原住民儿童的报告发病率。
这些儿童中最常见的疾病是呼吸道感染和皮肤病。病因可能与多种相互作用的因素（环境和遗传）有关，需要进一步调查。
