Estimating the burden of arboviral diseases in Colombia between 2013 and 2016
Estimating the burden of arboviral diseases in Colombia between 2013 and 2016
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DOI：
10.1016/j.ijid.2020.05.051
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发表时间：
2020-08-01
影响因子：
8.4
通讯作者：
Restrepo, Fernando Pio De la Hoz
中科院分区：
文献类型：
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作者：
Mora-Salamanca, Andres Felipe;Porras-Ramirez, Alexandra;Restrepo, Fernando Pio De la Hoz
在2013-2016年期间，登革热、基孔肯雅热和寨卡病毒影响了哥伦比亚100多万人。这些虫媒病毒及其慢性表现构成了公共卫生挑战。因此，我们估计了2013年至2016年期间哥伦比亚登革热、基孔肯雅热和寨卡病毒的疾病负担。方法：以残疾调整生命年（Disability-adjusted life years，DIFs）为计量单位进行了探索性生态研究。使用了国家统计局的死亡率数据库和国家公共卫生监测系统的发病率数据库。对每种虫媒病毒的死亡和病例进行分组，然后进行调整以控制偏倚。结果：在2013-2016年期间，哥伦比亚因虫媒病毒而损失了491，629.2个DALLS。按疾病分类，总DALY中有26.6%是由登革热引起的，71.3%是由基孔肯雅热引起的，其余2.2%是由寨卡病毒引起的。大多数DADs（68.2%）由慢性并发症引起。五出32个部门（考卡谷，托利马，北桑坦德省，乌伊拉和玻利瓦尔）贡献了总DADS.Conclusion的50.5%：在2013年至2016年期间，虫媒病毒的疾病负担超过了其他传染病，如艾滋病毒/艾滋病和结核病在哥伦比亚的负担。必须在公共卫生方面作出努力，以减轻这些虫媒病毒的新流行。(C)2020作者（S）由爱思唯尔有限公司代表国际传染病学会出版。这是一个在CC BY-NC-ND许可证下的开放获取文章（http：//creativecommons.org/licenses/by-ncnd/4.0/）。
Objective: During the 2013-2016 period, Dengue, Chikungunya, and Zika affected more than 1 million people in Colombia. These arboviruses and their chronic manifestations pose a public health challenge. Therefore, we estimated the burden of disease by Dengue, Chikungunya, and Zika in Colombia between 2013 and 2016.Methods: An exploratory ecological study was carried out using the disability-adjusted life years (DALYs) as a unit of measure. The mortality databases of the National Administrative Department of Statistics (DANE) and the morbidity databases of the National Public Health Surveillance System (SIVIGILA) were used. Deaths and cases for each arbovirus were grouped and then adjusted to control biases. Subsequently, we performed a sensitivity analysis.Results: In the 2013-2016 period, 491,629.2 DALYs were lost due to arboviruses in Colombia. By disease, 26.6% of the total DALYs were caused by Dengue, 71.3% by Chikungunya, and the remaining 2.2%, by Zika. The majority of DALYs (68.2%) were caused by chronic complications. Five out of 32 departments (Valle del Cauca, Tolima, Norte de Santander, Huila, and Bolivar) contributed 50.5% of total DALYs.Conclusion: The burden of disease by arboviruses in the 2013-2016 period exceeded the burden of other infectious diseases such as HIV/AIDS and tuberculosis in Colombia. Public health efforts must be made to mitigate new epidemics of these arboviruses. (C) 2020 The Author(s). Published by Elsevier Ltd on behalf of International Society for Infectious Diseases. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-ncnd/4.0/).