西班牙马德里南部城区利什曼病爆发与发病率高于预期之间的空间关系。

IF 1.9 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Jesús Alonso-Carrillo, Ana Pérez Ayala, Mario Fernández-Ruiz, José Tiago Silva, Sara Castaño-Pérez, Mónica Prieto, Nuria Valdeolivas, María Asunción Pérez-Jacoiste Asín, Manuel Lizasoain, José María Aguado, Francisco López-Medrano
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引用次数: 0

摘要

2009 年至 2017 年期间,西班牙富恩拉布拉达爆发了欧洲最大的人类利什曼病疫情。马德里 "12 de Octubre "大学医院为疫区以北马德里三个区(比利亚韦德、乌塞拉和卡拉班切尔)的居民提供服务。与卡拉班切尔不同,比利亚韦德和乌塞拉有铁路与疫区相连。我们进行了一项回顾性研究,其中包括 2011 年至 2020 年期间确诊的所有利什曼病病例。共记录了 51 例病例。在与疫区有铁路相连的地区,观察到的发病率高于预期(每 10 万居民中有 13.45-15.55 例与每 10 万居民中有 5.2 例)。除了居住地与铁轨之间的直线距离外,在人口统计学或风险因素方面,各地区人口之间没有发现任何差异。我们推测,铁路与疫区的直接连接可能是比利亚韦德和乌塞拉发病率较高的原因。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Spatial Relationship between a Regional Outbreak and a Higher-than-Expected Incidence of Leishmaniasis in Urban Southern Madrid, Spain.

The largest outbreak of human leishmaniasis in Europe took place in Fuenlabrada, Spain, between 2009 and 2017. The University Hospital "12 de Octubre" in Madrid serves the population residing in three districts of Madrid located just north of the outbreak area (Villaverde, Usera, and Carabanchel). Villaverde and Usera are connected by rail to the outbreak area, unlike Carabanchel. We performed a retrospective study including all cases of leishmaniasis diagnosed between 2011 and 2020. Fifty-one cases were documented. In the districts connected by rail to the outbreak area, a higher-than-expected incidence was observed (13.45-15.55 versus 5.2 per 100,000 inhabitants). Apart from the linear distance from the place of residence to the railway tracks, no differences in terms of demographics or risk factors were detected between the populations of the districts. We hypothesize that the direct connection with the outbreak area by rail could explain the higher incidence observed in Villaverde and Usera.

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来源期刊
American Journal of Tropical Medicine and Hygiene
American Journal of Tropical Medicine and Hygiene 医学-公共卫生、环境卫生与职业卫生
CiteScore
6.20
自引率
3.00%
发文量
508
审稿时长
3 months
期刊介绍: The American Journal of Tropical Medicine and Hygiene, established in 1921, is published monthly by the American Society of Tropical Medicine and Hygiene. It is among the top-ranked tropical medicine journals in the world publishing original scientific articles and the latest science covering new research with an emphasis on population, clinical and laboratory science and the application of technology in the fields of tropical medicine, parasitology, immunology, infectious diseases, epidemiology, basic and molecular biology, virology and international medicine. The Journal publishes unsolicited peer-reviewed manuscripts, review articles, short reports, images in Clinical Tropical Medicine, case studies, reports on the efficacy of new drugs and methods of treatment, prevention and control methodologies,new testing methods and equipment, book reports and Letters to the Editor. Topics range from applied epidemiology in such relevant areas as AIDS to the molecular biology of vaccine development. The Journal is of interest to epidemiologists, parasitologists, virologists, clinicians, entomologists and public health officials who are concerned with health issues of the tropics, developing nations and emerging infectious diseases. Major granting institutions including philanthropic and governmental institutions active in the public health field, and medical and scientific libraries throughout the world purchase the Journal. Two or more supplements to the Journal on topics of special interest are published annually. These supplements represent comprehensive and multidisciplinary discussions of issues of concern to tropical disease specialists and health issues of developing countries
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