Spatial Interaction Between Leptospirosis and Enteric Fever in Kelantan, Malaysia: A 2016-2022 Notification Registry Analysis.

IF 1.4 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Asia-Pacific Journal of Public Health Pub Date : 2024-09-30 DOI:10.1177/10105395241286118
Hazlienor Mohd Hatta, Kamarul Imran Musa, Nik Mohd Hafiz Mohd Fuzi, Paula Moraga
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Abstract

Leptospirosis and enteric fever are prevalent tropical acute bacterial febrile illnesses in Kelantan, Malaysia, that exhibit overlapping features and shared transmission dynamics, yet their spatial relationship remains understudied. This study aimed to analyze their spatial distribution, investigating potential interactions and intersecting patterns. A total of 212 laboratory-confirmed cases of enteric fever and 1106 of leptospirosis between 2016 and 2022, were retrieved from the national e-Notifikasi registry. Point pattern analysis revealed clustering of both diseases in the northern region, but leptospirosis was predominant in the south, exhibiting higher spatial risk. Seven co-infection cases were identified in overlapping hotspot areas. Spatial dependence between the diseases was identified within 4 km distance on average, with varying patterns over time and regions. Recognizing spatial dependence has implications for accurate diagnosis, timely intervention, and tailored public health strategies. The findings underscore the need for multi-disease interventions to address shared risk factors and co-infections in similar geographical contexts.

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马来西亚吉兰丹州钩端螺旋体病与肠炎之间的空间相互作用:2016-2022 年通报登记分析》。
钩端螺旋体病和肠热病是马来西亚吉兰丹州流行的热带急性细菌性发热疾病,它们表现出重叠的特征和共同的传播动态,但它们之间的空间关系仍未得到充分研究。本研究旨在分析它们的空间分布,调查潜在的相互作用和交叉模式。研究人员从国家电子注册系统(e-Notifikasi)中检索了2016年至2022年期间经实验室确诊的212例肠道热病例和1106例钩端螺旋体病例。点模式分析显示,这两种疾病都聚集在北部地区,但钩端螺旋体病主要发生在南部,显示出更高的空间风险。在重叠的热点地区发现了七例合并感染病例。在平均 4 公里的距离内发现了这两种疾病之间的空间依赖性,其模式随时间和地区而变化。认识到空间依赖性对准确诊断、及时干预和量身定制的公共卫生策略具有重要意义。研究结果突出表明,有必要针对多种疾病采取干预措施,以应对相似地理环境中的共同风险因素和合并感染。
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来源期刊
Asia-Pacific Journal of Public Health
Asia-Pacific Journal of Public Health 医学-公共卫生、环境卫生与职业卫生
CiteScore
3.30
自引率
4.00%
发文量
147
审稿时长
6 months
期刊介绍: Asia-Pacific Journal of Public Health (APJPH) is a peer-reviewed, bimonthly journal that focuses on health issues in the Asia-Pacific Region. APJPH publishes original articles on public health related issues, including implications for practical applications to professional education and services for public health and primary health care that are of concern and relevance to the Asia-Pacific region.
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