外贝加尔湖东部蜱传恙虫病和西伯利亚蜱传斑疹伤寒的发病率和趋势

A. Turanov, E. I. Andaev, A. Nikitin
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引用次数: 1

摘要

的目标。目的研究外贝加尔湖东部地区蜱传恙虫病(ITB)和西伯利亚蜱传斑疹伤寒(STT)的流行趋势,并对其长期发病率进行评估,以改进预防措施。材料与方法。我们对2003-2021年东外贝加尔不同地区的ITB和STT发病率进行了回顾性分析。流行趋势用线性回归方程表征。2003-2021年,ITB的年平均发病率为每10万人4例。对2003-2012年和2013 - 2021年两个时期的分析显示,2013 - 2021年ITB发病率(5.1±0.79 / 10万人)比2003-2012年(2.6±0.73 / 10万人,p < 0.05)有所增加。2013-2021年期间,ITB发病率下降的趋势在统计学上不显著。STT的发病率低于ITB,且这种情况的变化趋势无统计学意义(2003 - 2021年平均年发病率为2.1±0.37 / 10万人)。2012 - 2021年,特别是2017年之前,STT的发病率有所下降(2012 - 2021年的年平均发病率为每10万人1.5±0.43)。跨贝加尔湖东部不同地区的ITB和STT流行病学风险存在差异。为防止蜱传疾病的发生,应定期进行杀螨治疗。此类干预措施的数量应根据人类感染的风险来确定。
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Incidence and trends of ixodid tick-borne borreliosis and Siberian tick typhus in the Eastern Transbaikalia
Aim. To study the trends and to assess longterm incidence of ixodid tick-borne borreliosis (ITB) and Siberian tick typhus (STT) in Eastern Transbaikalia for the improvement of preventive measures.Materials and Methods. We carried out a retrospective analysis of ITB and STT incidence in different districts of the Eastern Transbaikalia during 2003–2021. Epidemic trends were characterised using linear regression equations.Results. Average annual incidence of ITB in 2003–2021 was 4 cases per 100,000 population. Analysis of two periods (2003–2012 and 2013– 2021) showed an increase in ITB incidence in 2013–2021 (5.1 ± 0.79 per 100,000 population) as compared to 2003–2012 (2.6 ± 0.73 per 100,000 population, p < 0.05). Within 2013–2021 period, there has been a statistically insignificant trend towards decreasing ITB incidence. The incidence of STT was lower than that of ITB and there was no statistically significant trend towards change of this scenario (average annual incidence in 2003– 2021 was 2.1 ± 0.37 per 100,000 population). Between 2012 and 2021, in particular before 2017, the incidence of STT reduced (average annual incidence in 2012–2021 was 1.5 ± 0.43 per 100,000 population). The epidemiological risk of ITB and STT varied across the distinct territories of Eastern Transbaikalia.Conclusion. In order to prevent the incidence of tick-borne diseases, acaricide treatments should be regularly carried out. Amounts of such interventions should be determined depending on the risk of human infection.
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