孟买三级医院抗狂犬病疫苗门诊部就诊的狗咬伤病例概况和地理空间分析。

IF 0.9 4区 医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Indian journal of public health Pub Date : 2024-04-01 Epub Date: 2024-06-29 DOI:10.4103/ijph.ijph_1234_23
Dinesh Asokan, Anjali Mall, Lalit Sankhe, Nagaraj Jaganathasamy, Geeta Pardeshi
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引用次数: 0

摘要

背景:被狗咬伤是印度的一个重大公共卫生问题,因此有必要了解其流行病学概况和空间分布。考虑到人类、动物和环境健康之间的相互联系,采用 "统一健康 "方法对于制定有效的干预措施至关重要:本研究旨在评估城市地区狗咬伤病例的流行病学概况和地理空间趋势,重点关注受害者的年龄和性别分布、咬伤的严重程度以及病例的空间分布,从而为预防策略提供依据:对孟买一家三级医院 2022 年报告的狗咬人病例进行了回顾性二手数据分析。研究了流行病学概况,包括年龄、性别和咬伤的严重程度。利用量子地理信息系统(QGIS)进行空间分布分析,确定了城市地区的热点:在 3350 个病例中,70.7% 年龄在 40 岁以下,81.6% 为男性,78.18% 为 III 类咬伤,表明伤势严重。大多数病例(74%)是由流浪狗造成的。QGIS 分析显示,市区内有五个热点地区:这项研究强调了被狗咬伤的主要是年轻男性,以及受伤的严重程度。空间分析确定了特定的热点地区,强调了采取有针对性干预措施的必要性。采用地理信息系统(GIS)技术和 "一体健康 "方法实施综合监测系统,可加强对狗咬伤病例的控制和预防,降低狂犬病爆发的风险。
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Profile and Geospatial Analysis of Dog Bite Cases Attending the Antirabies Vaccine Outpatient Department at the Tertiary Level Hospital of Mumbai.

Background: Dog bites pose a significant public health concern in India, necessitating an understanding of their epidemiological profile and spatial distribution. Adopting the One Health approach, which considers the interconnection of human, animal, and environmental health, is vital for developing effective interventions.

Objectives: The study aimed to assess the epidemiological profile and geospatial trends of dog bite cases in an urban area, focusing on the age and gender distribution of victims, severity of bites, and spatial distribution of cases to inform prevention strategies.

Materials and methods: A retrospective secondary data analysis was conducted on dog bite cases reported in 2022 at a tertiary care hospital in Mumbai. The epidemiological profile, including age, gender, and severity of bites, was examined. Quantum Geographic Information System (QGIS) was utilized for spatial distribution analysis, identifying hotspots within the urban area.

Results: Of the 3350 cases, 70.7% were below 40 years old, 81.6% were male, and 78.18% had Category III bites indicating severe injuries. Most cases (74%) were caused by stray dogs. QGIS analysis revealed five hotspots within the urban area.

Conclusion: The study highlights the predominance of dog bites among younger males and the severity of injuries. Spatial analysis identified specific hotspots, underscoring the need for targeted interventions. Implementing a comprehensive surveillance system incorporating GIS technology and adopting a One Health approach can enhance the control and prevention of dog bite cases and reduce the risk of rabies outbreaks.

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来源期刊
Indian journal of public health
Indian journal of public health PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
2.40
自引率
0.00%
发文量
92
审稿时长
21 weeks
期刊介绍: Indian Journal of Public Health is a peer-reviewed international journal published Quarterly by the Indian Public Health Association. It is indexed / abstracted by the major international indexing systems like Index Medicus/MEDLINE, SCOPUS, PUBMED, etc. The journal allows free access (Open Access) to its contents and permits authors to self-archive final accepted version of the articles. The Indian Journal of Public Health publishes articles of authors from India and abroad with special emphasis on original research findings that are relevant for developing country perspectives including India. The journal considers publication of articles as original article, review article, special article, brief research article, CME / Education forum, commentary, letters to editor, case series reports, etc. The journal covers population based studies, impact assessment, monitoring and evaluation, systematic review, meta-analysis, clinic-social studies etc., related to any domain and discipline of public health, specially relevant to national priorities, including ethical and social issues. Articles aligned with national health issues and policy implications are prefered.
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