Spatial point pattern analysis of hemorrhagic fever with renal syndrome in Jingzhou, Hubei Province, 2017
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摘要:
目的 通过分析2017年春夏季、秋冬季荆州市肾综合征出血热(hemorrhagic fever with renal syndrome,HFRS)空间点格局分布特征,探讨其高发区域及原因,为公共卫生资源配置提供依据。 方法 个案数据来源于中国疾病预防信息系统,2017年3月-2017年8月为春夏季,2017年9月-2018年2月为秋冬季,采用Ripley's K函数和核密度估计进行空间点格局分析,比较2个季节空间点格局分布特征。 结果 2017年荆州市报告HFRS发病133例;有春夏季、秋冬季2个发病高峰;最强聚集距离春夏季为17.77 km、秋冬季为14.40 km;空间聚集中心春夏季在监利县北部,秋冬季转移到江陵县和沙市区南部。 结论 荆州市HFRS防控重点区域是江陵县、沙市区南部、监利县北部,重点人群为沙市区南部城乡结合部居民、大型工程沿线居民、聚集区域从事农业种植或小龙虾养殖的农民。 Abstract:Objective To analyze the spatial point pattern distribution characteristics of hemorrhagic fever with renal syndrome (HFRS) in Jingzhou city, Hubei province during the two seasons spring- summer and autumn-winter of 2017, to discuss its high incidence area and reason, and to provide basis for the resource allocation of public health. Methods The analytical data was collected from Infectious Disease Reporting Information System in China, and the spring-summer season was from March to August of 2017, while the autumn-winter was from the September of 2017 to the February of 2018. The Ripley's K-function and kernel density estimation were applied to analyze the spatial point pattern distribution and compare the distribution characteristics of spatial point pattern between the two seasons. Results In 2017, 133 cases of HFRS were reported in Jingzhou city, including the spring- summer and autumn-winter two pick incidences. The strongest aggregation distance was 17.77km in spring-summer season, and 14.40 km in autumn-winter season. The spatial gathering center was located in the north of Jianli County in spring-summer, and it moved to the south of Jiangling County and Shashi District in autumn-winter. Conclusions The key areas for the prevention and control of HFRS in Jingzhou City are Jiangling County, the southern part of Shashi District and the northern part of jianli county. The key groups are the residents of the urban-rural junction in the southern part of Shashi City, residents along the route of large-scale projects, and farmers engaged in agricultural planting or crayfish breeding in the gathering areas. -
表 1 2017年荆州市HFRS Ripley's L(d) 指数分析距离d值与空间分布
Table 1. Distance (d) from Ripley's L analysis of HFRS and its spatial distribution in Jingzhou, 2017
空间分布 距离d值(km) 春夏季 秋冬季 均匀分布 0.28~ 0.31~ 无聚集 1.18~ 0.92~ 聚集 2.94~ 1.53~ 聚集减弱 14.40~ 17.77~ -
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