Socio-demographic, ecological factors and dengue infection trends in Australia.

Socio-demographic, ecological factors and dengue infection trends in Australia.
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DOI:
10.1371/journal.pone.0185551
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发表时间:
2017
期刊:
影响因子:
3.7
通讯作者:
Tong S
Tong S
中科院分区:
综合性期刊3区
文献类型:
--
作者:
Akter R;Naish S;Hu W;Tong S

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登革热一直是澳大利亚的一个主要公共卫生问题。本研究探讨了澳大利亚登革热的时空趋势和潜在的社会人口和生态决定因素。1999年1月至2010年12月期间登革热病例、社会人口、气候和土地利用类型的数据分别来自澳大利亚国家法定传染病监测系统、澳大利亚统计局、澳大利亚气象局和澳大利亚农业和资源经济与科学局。进行描述性和线性回归分析,以观察登革热的时空趋势,社会人口和生态因素在澳大利亚。1999年1月至2010年12月期间,澳大利亚各地共记录了5,853例登革热病例(包括本地和海外获得的病例)。大多数病例(53.0%)来自昆士兰州,其次是新南威尔士州(16.5%)。2008-2010年登革热疫情最高(54.2%)。2008-2010年期间,海外移民(29.9%)、拥有雨水池的家庭(33.9%)、土著居民(27.2%)、独立住房(26.5%)、露台住房类型(26.9%)和经济优势人口(42.8%)的比例也最高。回归分析表明,登革热发病率、潜在的社会生态因素,如海外移民、拥有雨水储存罐的家庭数量、住房类型和土地使用类型(如集约利用和旱地农业生产)呈上升趋势。在这项研究中,还观察到社会人口因素的空间变异。在不久的将来,澳大利亚各地的气温也将大幅上升。如果伊蚊正在建立,预计气温上升以及社会生态趋势的增加可能对澳大利亚其他地区登革热的当地传播构成威胁。因此,应在不同港口加强蚊子和疾病监测,以减少蚊子和登革热病例输入澳大利亚各地的机会。
Dengue has been a major public health concern in Australia. This study has explored the spatio-temporal trends of dengue and potential socio- demographic and ecological determinants in Australia. Data on dengue cases, socio-demographic, climatic and land use types for the period January 1999 to December 2010 were collected from Australian National Notifiable Diseases Surveillance System, Australian Bureau of Statistics, Australian Bureau of Meteorology, and Australian Bureau of Agricultural and Resource Economics and Sciences, respectively. Descriptive and linear regression analyses were performed to observe the spatio-temporal trends of dengue, socio-demographic and ecological factors in Australia. A total of 5,853 dengue cases (both local and overseas acquired) were recorded across Australia between January 1999 and December 2010. Most the cases (53.0%) were reported from Queensland, followed by New South Wales (16.5%). Dengue outbreak was highest (54.2%) during 2008–2010. A highest percentage of overseas arrivals (29.9%), households having rainwater tanks (33.9%), Indigenous population (27.2%), separate houses (26.5%), terrace house types (26.9%) and economically advantage people (42.8%) were also observed during 2008–2010. Regression analyses demonstrate that there was an increasing trend of dengue incidence, potential socio-ecological factors such as overseas arrivals, number of households having rainwater tanks, housing types and land use types (e.g. intensive uses and production from dryland agriculture). Spatial variation of socio-demographic factors was also observed in this study. In near future, significant increase of temperature was also projected across Australia. The projected increased temperature as well as increased socio-ecological trend may pose a future threat to the local transmission of dengue in other parts of Australia if Aedes mosquitoes are being established. Therefore, upgraded mosquito and disease surveillance at different ports should be in place to reduce the chance of mosquitoes and dengue cases being imported into all over Australia.
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