长治市县域手足口病空间探索分析

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目的分析2009-2014年长治市县域手足口病的时空差异。方法通过检索“国家疾病监测信息管理系统”收集2009-2014年长治市手足口病的病例资料,建立Excel数据库,利用Arc GIS软件生成shp文件,使用Geoda软件Box Map图、Moran散点图和LISA显著性水平图直观分析时空分布差异。结果长治市2009-2014年手足口病发病人群中男性多于女性;4-8月为高发期,其中4-6月发病率呈上升趋势,6月发病率达到最高,7-8月发病率呈下降趋势;高发区呈聚集分布,低发区呈分散分布,高发年手足口病发病呈现高发区、低发区的相似分布;发病显著区均受到周边县区的影响;发病率呈现隔年聚集发生,但随着时间的推移,聚集性有所减弱。结论 ESDA技术能直观分析HFMD的时空分布差异,为今后长治地区手足口病疫情的科学防控提供参考依据。 Objective To analyze the spatio-temporal differences of hand-foot-mouth disease in Changzhi from 2009 to 2014. Methods The data of cases of HFMD in Changzhi city from 2009 to 2014 were collected by searching “National Disease Surveillance Information Management System”. The Excel database was established. The ArcGIS software was used to generate shp files. The Geoda software Box Map, Moran Scatter Plot And LISA significance level chart intuitive analysis of spatial and temporal distribution differences. Results There were more males than females in the population of hand-foot-mouth disease from 2009 to 2014 in Changzhi city. In April-August, the incidence rate was high, and the incidence rate in April-June was on the rise. The incidence rate in June was the highest. The incidence rate in July-August Showed a downward trend; the high incidence area was aggregated distribution, the low incidence area was distributed, high incidence of hand, foot and mouth disease showed high incidence area, low incidence of similar distribution; significant incidence of affected areas are affected by the surrounding counties; Happen, but as time goes by, aggregation diminishes. Conclusion The ESDA technique can intuitively analyze the spatial and temporal distribution of HFMD and provide a reference for scientific prevention and control of HFMD in Changzhi area in the future.
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