中国人兽共患病学报2024，Vol.40Issue(9)：855-859,5.DOI:10.3969/j.issn.1002-2694.2024.00.127
2018-2022年浙江省钩端螺旋体病流行特征与时空聚集性分析
Epidemiological characteristics and spatiotemporal clustering analysis of leptospirosis in Zhejiang Province from 2018 to 2022
郭颂 1姚文武 1刘营 1施旭光 1任江萍 1张蓉 1杨章女 1孙继民1
作者信息
- 1. 浙江省疾病预防控制中心,杭州 310051
- 折叠
摘要
Abstract
The epidemiological and spatiotemporal distribution characteristics of human leptospirosis in Zhejiang Province from 2018 to 2022 were analyzed,to provide a scientific basis for formulating leptospirosis prevention and control strategies.Data on leptospirosis were collected from the China Information System for Disease Control and Prevention,and analyzed with descriptive epidemiological methods.ArcMap 10.8 software was used for spatial autocorrelation analysis and visual display of the results.SaTScan 10.1.2 software was used for spatiotemporal scanning,to analyze and describe the spatiotemporal aggrega-tion characteristics of leptospirosis.A total of 255 human cases of leptospirosis were reported in Zhejiang Province from 2018 to 2022,including one death;the average annual incidence was 0.084 3/100 000,and the average annual mortality was 0.000 3/100 000.The highest incidence of leptospirosis in Zhejiang occurred from August to October.Most cases were in middle-aged and older people 45-86 years of age(221 cases,86.67％).The number of cases was highest among people 65-69 years of age(57 cases).The male to female ratio was 4.67∶1.The main occupation was farming(190 cases,74.51％).The cumulative number of cases in Wenzhou and Lishui in 3 years(201 cases)accounted for 78.82％of the total cases.The global spatial auto-correlation analysis from 2018 to 2022 showed that the incidence of leptospirosis in the province presented a positive spatial au-tocorrelation.Local spatial autocorrelation analysis indicated that the"high-high"gathering areas were concentrated primarily in Wenzhou,Lishui,and Taizhou in the mountainous and hilly areas of southern Zhejiang Province.Spatiotemporal scanning anal-ysis revealed three clusters with high incidence in southern Zhejiang Province.The incidence of leptospirosis in Zhejiang Prov-ince showed clear regional clustering and seasonality,and the high incidence area was mainly in the mountainous and hilly areas of southern Zhejiang Province.The cases occurred mainly in middle-aged and older male farmers.Health education among rural resi-dents should be strengthened to prevent potential epidemic risks.关键词
钩端螺旋体病/流行特征/空间自相关/时空聚集性Key words
leptospirosis/epidemiological characteristic/spatial autocorrelation/spatiotemporal clustering分类
医药卫生引用本文复制引用
郭颂,姚文武,刘营,施旭光,任江萍,张蓉,杨章女,孙继民..2018-2022年浙江省钩端螺旋体病流行特征与时空聚集性分析[J].中国人兽共患病学报,2024,40(9):855-859,5.
