Spatial malaria epidemiology in Bangladeshi highlands.
Spatial malaria epidemiology in Bangladeshi highlands.
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DOI：
10.1186/1475-2875-8-185
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发表时间：
2009-08-05
期刊：
影响因子：
3
通讯作者：
Haque R
中科院分区：
文献类型：
--
作者：
Haque U;Huda M;Hossain A;Ahmed SM;Moniruzzaman M;Haque R
疟疾是孟加拉国东南部，特别是吉大港山区的一个主要公共卫生负担。2007年，孟加拉国农村发展委员会和孟加拉国B复员方案中心在包括哈格拉查里区在内的疟疾流行地区进行了一次疟疾流行率调查。这项研究的目的是检测疟疾聚集性并确定地理风险因素。从该地区选择了30个mauzas（孟加拉国最低的行政单位/大于村庄，具有多边形边界）进行调查，使用概率与大小成比例（PPS）抽样。然后在每个mauza内随机选择25个家庭进行筛查，在每个家庭记录一个GPS点。使用快速诊断测试来诊断疟疾。疟疾平均患病率为15.47%（n = 750）。SaTScan检测到五个疟疾地理集群，其中一个非常显著（p = 0.001）。疟疾病例与邻近水体和森林密切相关。本文提供的数据是从微观地理角度了解孟加拉国东南部疟疾的第一步。研究结果表明，研究区存在“疟疾热点”。孟加拉国政府和参与疟疾控制的非政府组织在规划疟疾控制措施时应考虑这些结果。特别是，应在获得新数据后定期更新疟疾地图。
Malaria is a major public health burden in the south-eastern part of Bangladesh, particularly in the Chittagong Hill Tracts region. In 2007, BRAC and ICDDR,B carried out a malaria prevalence survey in the endemic regions including the Khagrachari District. This study was done to detect clusters of malaria and identify the geographic risk factors. Thirty mauzas (the lowest administrative unit/bigger than village in Bangladesh that has polygon boundary) from the area were selected for the survey using probability proportional to size (PPS) sampling. Twenty-five households within each mauza were then randomly selected for screening, with a GPS point being recorded at each household. Rapid diagnostic tests were used to diagnose malaria. The average malaria prevalence in the District was 15.47% (n = 750). SaTScan detected five geographic clusters of malaria, one of which was highly significant (p = 0.001). Malaria cases were significantly associated with proximity to water bodies and forests. The data presented in this paper are the first step to understanding malaria in southeastern Bangladesh from a micro-geographic perspective. The study results suggest that there are 'malaria hot-spots' in the study area. The government of Bangladesh and non-governmental organizations involved in malaria control should consider these results when planning malaria control measures. In particular, malaria maps should be updated on a regular basis as new data become available.
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影响因子：
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作者：
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DOI：
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发表时间：
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影响因子：
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作者：
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通讯作者：
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DOI：
10.4269/ajtmh.2003.68.1.0680010
发表时间：
2003-01-01
影响因子：
3.3
作者：
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