Infectious disease morbidity in the US region bordering Mexico, 1990-1998
Infectious disease morbidity in the US region bordering Mexico, 1990-1998
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DOI：
10.1086/315876
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发表时间：
2000-11-01
影响因子：
6.4
通讯作者：
Bryan, RT
中科院分区：
文献类型：
--
作者：
Doyle, TJ;Bryan, RT
美国和墨西哥有一条长达3000公里的国际边界。这条边界将两个健康状况差异很大的国家分开。本研究的目的是评估美国与墨西哥接壤地区传染病的发病率。对1990 ~ 1998年边境地区和非边境地区22种法定传染病的发病率进行了比较。边境地区肉毒中毒、布鲁氏菌病、白喉、甲型肝炎、麻疹、腮腺炎、狂犬病、风疹、沙门氏菌病和志贺氏菌病的发病率（以发病率比表示）高于两个非边境比较地区。这些数据表明，在美国沿着墨西哥边境地区，各种具有公共卫生重要性的传染病的发病率明显高于非边境地区。这些结果表明，公共卫生基础设施不足可能导致边境地区传染病的发病率过高。
The United States and Mexico share an international boundary similar to 3000 km long. This border separates 2 nations with great differences in health status. The objective of this study was to assess morbidity due to infectious diseases in the US region bordering Mexico. The incidence between 1990 and 1998 of 22 nationally notifiable infectious diseases was compared between border and nonborder regions, Disease rates, reflected as rate ratios, were higher in the border region for botulism, brucellosis, diphtheria, hepatitis A, measles, mumps, rabies, rubella, salmonellosis, and shigellosis than in either of 2 nonborder comparison regions. These data indicate that incidence rates for a variety of infectious diseases of public health importance are significantly higher in the United States along the Mexican border than in nonborder regions, These results suggest that an inadequate public health infrastructure may contribute to excess morbidity due to infectious diseases in the border region.