在地区一级利用地理信息技术对 COVID-19 感染进行流行病学监测的可能性

E. I. Kravchenko, A. I. Blokh, O. Pasechnik
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摘要

相关性。新型冠状病毒感染在世界各地的蔓延,使人们对研究该疾病病例的地域分布模式等问题产生了浓厚的兴趣。目的调查 COVID-19 感染病例的空间分布情况,并提出在地区一级新型冠状病毒感染流行病学监督系统中使用 GIS 技术的建议。材料和方法。研究在克拉斯诺亚尔斯克边疆区泽廖诺戈尔斯克封闭行政领土实体境内进行。在为期 57 周的研究期间(2020 年 12 月 4 日至 2021 年 6 月 18 日),共报告了 4176 例 COVID-19 感染病例。利用开放街道地图资源的开放数据中的投影坐标系,对每个病例按患者居住地进行了地理编码。利用地理信息系统 QGIS Desktop 3.28.0 版对 COVID-19 病例的空间分布进行了研究。使用 Getis-Ord 指数进行了空间自相关分析。研究结果在应用地理信息系统技术的过程中,对 COVID-19 感染病例的分布密度进行了估算,发现了六个平均核心密度的区域,城市北部的爆发具有最大的流行病学意义。在评估指定区域内的病例聚集情况时,确定了 11 个聚集区,其中三个聚集区的病例密度最高,分别为每 1 平方公里 1210.1 例、1155.9 例和 1116.7 例。格蒂斯-奥尔德指数值从 0.00 到 2.576 不等,大多数病例发生在位于城市北部的地域组群。结论在现代地理信息系统技术基础上获得的关于行政区域内存在 "热点 "或集群的新知识,将使在感染率较高的微型地区调整预防措施成为可能,并为更有效地控制 COVID-19 感染制定战略。
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Possibilities of Using Geoinformation Technologies in Epidemiological Surveillance of COVID-19 Infection at the Regional Level
Relevance. The spread of the new coronavirus infection throughout the world has led to expressed interest in studying, among other things, the patterns of territorial distribution of cases of the disease. Aim. To investigate the spatial distribution of cases of COVID-19 infection and develop proposals for the use of GIS technologies in the epidemiological supervision system for the new coronavirus infection at the regional level. Materials and methods. The study was conducted on the territory of the closed administrative- territorial entity of Zelenogorsk, Krasnoyarsk Territory. 4176 cases of COVID-19 infection were reported during the study period of 57 weeks (04/12/2020 to 06/18/2021). Each case of the disease was geocoded by the residence of the sick person using a projection coordinate system from the open data of the Open Street Map resource. The spatial distribution of COVID-19 cases was studied with geographic information system QGIS Desktop version 3.28.0. Spatial autocorrelation analysis was carried out using the Getis-Ord index. Results. During the application of GIS technologies, the density of distribution of COVID-19 infection cases was estimated, six zones with an average core density were discovered, the outbreaks in the northern part of the city had the greatest epidemiological significance. When assessing the clustering of cases within the specified territorial zones, eleven clusters were identified, three of which were characterized by the highest density of cases - 1210.1 cases per 1 sq. km, 1155.9 and 1116.7 cases per 1 sq. km. The Getis-Ord index value ranged from 0.00 to 2.576, the majority of cases was recorded in territorial clusters located in the northern part of the city. Conclusions. New knowledge obtained on the basis of modern GIS technologies about the presence of “hot spots” or clusters in the administrative territory will make the adjustment of preventive measures in micro-areas with a high prevalence of infection possible and develop strategies for more effective control of COVID-19 infection.
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