Need for improved methods to collect and present spatial epidemiologic data for vectorborne diseases
Need for improved methods to collect and present spatial epidemiologic data for vectorborne diseases
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DOI：
10.3201/eid1312.070211
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发表时间：
2007-12-01
影响因子：
11.8
通讯作者：
Eisen, Rebecca J.
中科院分区：
文献类型：
--
作者：
Eisen, Lars;Eisen, Rebecca J.
在美国，需要改进媒介传播疾病的空间流行病学数据的收集和呈现方法。缺乏病原体可能暴露地点的可靠数据已成为发展预测空间风险模型的主要障碍。虽然鼠疫病例调查可以作为如何理想地产生所需信息的模型，但这种综合方法对于更常见和不太严重的疾病来说成本过高。迫切需要新的方法来确定可能的病原体接触地点，这些方法将产生可靠的结果，同时考虑到公共卫生系统和主治医生的经济和时间限制。最近的数据表明，有必要从使用县空间单位来表示病媒传播疾病的发病率，改为使用更精确的邮政编码或人口普查区尺度。这种精细尺度的空间风险模式可以通过网络测绘方法传达给公众和医学界。
Improved methods for collection and presentation of spatial epidemiologic data are needed for vectorborne diseases in the United States. Lack of reliable data for probable pathogen exposure site has emerged as a major obstacle to the development of predictive spatial risk models. Although plague case investigations can serve as a model for how to ideally generate needed information, this comprehensive approach is cost-prohibitive for more common and less severe diseases. New methods are urgently needed to determine probable pathogen exposure sites that will yield reliable results while taking into account economic and time constraints of the public health system and attending physicians. Recent data demonstrate the need for a change from use of the county spatial unit for presentation of incidence of vectorborne diseases to more precise ZIP code or census tract scales. Such fine-scale spatial risk patterns can be communicated to the public and medical community through Web-mapping approaches.