中国血吸虫病防治杂志 ›› 2020, Vol. 32 ›› Issue (3): 268-.

• 论著 • 上一篇    下一篇

2013–2018年内蒙古自治区棘球蚴病报告病例 空间分布特征

姜晓峰1,冯克民1△,郝慧霞2*,宋健1,郭卫东1*   

  1. 1 内蒙古自治区综合疾病预防控制中心(呼和浩特 010031);2 内蒙古自治区呼和浩特市第二医院皮肤性病科
  • 出版日期:2020-05-16 发布日期:2020-05-16
  • 作者简介:姜晓峰,男,硕士,副主任医师。研究方向:传染病流行病学 冯克民,男,本科,副主任技师。研究方向:卫生管理
  • 基金资助:
    国家科技重大专项(2017ZX10103006?003、2018ZX10101002?001?009);内蒙古自治区卫生计生委卫生计生科研计划(201701034);内蒙古自治区应用技术研究与开发资金计划项目

Spatial distribution characteristics of reported echinococcosis patients in Inner Mongolia Autonomous Region from 2013 to 2018

JIANG Xiao-Feng1, FENG Ke-Min1△, HAO Hui-Xia2*, SONG Jian1, GUO Wei-Dong1*   

  1. 1 Inner Mongolia Autonomous Region Center for Comprehensive Disease Control and Prevention, Hohhot 010031, China; 2 Department of Dermatology and Sexually Transmitted Diseases, The Second Hospital of Hohhot, Inner Mongolia Autonomous Region, China
  • Online:2020-05-16 Published:2020-05-16

摘要: 目的 分析内蒙古自治区棘球蚴病报告病例空间分布规律及变化趋势,为强化重点地区棘球蚴病防控工作提供依据。方法 收集2013–2018年全国传染病网络直报系统中内蒙古自治区棘球蚴病报告病例数据,采用空间流行病学方法进行分析。结果 2013–2018年,内蒙古自治区棘球蚴病报告发病率为(0.22~0.41)/10万,报告病例的旗数由2013年的24个增加到2018年的39个。棘球蚴病高发病率地区主要集中在西乌珠穆沁旗(最高为19.23/10万)、东乌珠穆沁旗(最高为12.93/10万)和新巴尔虎右旗(最高为11.66/10万);三维趋势图显示,棘球蚴病报告发病率较高的区域主要集中在中部偏东地区。棘球蚴病报告病例空间分布存在正自相关关系,呈聚集性分布(Moran’sⅠ> 0,P < 0.05),存在“高?高”和“低?高”2种聚集形式。结论 内蒙古自治区棘球蚴病报告病例存在空间分布聚集性,热点地区主要集中在锡林郭勒盟及赤峰地区,建议加强这些地区棘球蚴病防控措施。

关键词: 棘球蚴病, 空间分布, 空间自相关, 内蒙古自治区

Abstract: Objective To investigate the spatial distribution patterns and changing tendency of reported echinococcosis patients in Inner Mongolia Autonomous Region from 2013 to 2018, so as to provide the evidence for the management of echinococcosis in high?risk areas. Methods All data pertaining to echinococcosis patients in Inner Mongolia Autonomous Region were captured from the National Notifiable Communicable Disease Reporting System from 2013 to 2018 and analyzed using a spatial epidemiological method. Results The incidence of reported echinococcosis was 0.22 to 0.41 per 100 000 in Inner Mongolia Autonomous Region from 2013 to 2018, and the number of banner reporting echinococcosis patients increased from 24 in 2013 to 39 in 2018. The highly prevalent areas of echinococcosis were mainly concentrated in West Ujimqin Banner (the highest incidence, 19.23 per 100 000), East Ujimqin Banner (the highest incidence, 12.93 per 100 000) and New Barag Right Banner (the highest incidence, 11.66 per 100 000). Three?dimensional trend analysis showed that the areas with high incidence of reported echinococcosis were mainly located in central by eastern parts of Inner Mongolia Autonomous Region. There was a positive spatial autocorrelation in the number of echinococcosis patients, and the cases appeared a clustering distribution (Moran’s I > 0, P < 0.05), with “high?high” and “low?high” regions. Conclusion The reported echinococcosis patients show a spatial aggregation in Inner Mongolia Autonomous Region, and the hotspot areas are mainly concentrated in Xilingol League and Chifeng City, in which targeted control interventions for Inner Mongolia Autonomous Region are recommended to be intensified.

Key words:  Echinococciasis, Spatial distribution, Spatial autocorrelation, Inner Mongolia Autonomous Region

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