大规模流行病学建模:巴西蚊媒疾病时空模式扫描

Eduardo C. Araujo, Claudia T. Codeço, Sandro Loch, Luã B. Vacaro, Laís P. Freitas, Raquel M. Lana, Leonardo S. Bastos, Iasmim F. de Almeida, Fernanda Valente, Luiz M. Carvalho, Flávio C. Coelho
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引用次数: 0

摘要

气候对登革热和基孔肯雅病等蚊媒疾病的影响已得到公认,但由于数据零散、分析工具有限,一直无法全面跟踪大面积地区的长期时空趋势。本研究从广度上介绍了一种前所未有的分析方法,即从巴西所有 5570 个城市 14 年(2010-2023 年)的登革热和基孔肯雅发病数据中估算出 SIR 传播参数。我们介绍了为估算这些参数而开发的 Episcanner 计算管道,该管道产生了一个可重复使用的数据集,描述了这一时期在巴西发生的所有登革热和基孔肯雅病流行情况。分析揭示了气候与流行病关系的新见解:我们确定了巴西各地虫媒病毒疾病发生的独特地理和时间模式,突出了气温和降水等气候因素如何影响登革热和基孔肯雅病流行的时间和强度。创新的 Episcanner 工具使研究人员和公共卫生官员能够详细探索这些模式,从而促进有针对性的干预和风险评估。这项研究提供了一个新的视角,让人们了解气候驱动的蚊媒疾病的长期动态及其与全球温度波动(如厄尔尼诺/南方涛动指数所反映的温度波动)的影响有关的地理特异性。
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Large-scale Epidemiological modeling: Scanning for Mosquito-Borne Diseases Spatio-temporal Patterns in Brazil
The influence of climate on mosquito-borne diseases like dengue and chikungunya is well-established, but comprehensively tracking long-term spatial and temporal trends across large areas has been hindered by fragmented data and limited analysis tools. This study presents an unprecedented analysis, in terms of breadth, estimating the SIR transmission parameters from incidence data in all 5,570 municipalities in Brazil over 14 years (2010-2023) for both dengue and chikungunya. We describe the Episcanner computational pipeline, developed to estimate these parameters, producing a reusable dataset describing all dengue and chikungunya epidemics that have taken place in this period, in Brazil. The analysis reveals new insights into the climate-epidemic nexus: We identify distinct geographical and temporal patterns of arbovirus disease incidence across Brazil, highlighting how climatic factors like temperature and precipitation influence the timing and intensity of dengue and chikungunya epidemics. The innovative Episcanner tool empowers researchers and public health officials to explore these patterns in detail, facilitating targeted interventions and risk assessments. This research offers a new perspective on the long-term dynamics of climate-driven mosquito-borne diseases and their geographical specificities linked to the effects of global temperature fluctuations such as those captured by the ENSO index.
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