Spatial analysis of human granulocytic ehrlichiosis near Lyme, Connecticut

被引：45

作者：

Chaput, EK ^{[1
]}

Meek, JI ^{[1
]}

Heimer, R ^{[1
]}

机构：

[1] Yale Univ, Sch Med, Connecticut Emerging Infect Program, Dept Epidemiol & Publ Hlth, New Haven, CT 06510 USA

来源：

EMERGING INFECTIOUS DISEASES | 2002年 / 8卷 / 09期

关键词：

D O I：

10.3201/eid0809.020103

中图分类号：

R392 [医学免疫学]; Q939.91 [免疫学];

学科分类号：

100102 ;

摘要：

Geographic information systems combined with methods of spatial analysis provide powerful new tools for understanding the epidemiology of diseases and for improving disease prevention and control. In this study, the spatial distribution of a newly recognized tick-borne disease, human granulocytic ehrlichiosis (HGE), was investigated for nonrandom patterns and clusters in an area known to be endemic for tick-borne diseases. Analysis of confirmed cases of HGE identified in 1997-2000 in a 12-town area around Lyme, Connecticut, showed that HGE infections are not distributed randomly. Smoothed HGE incidence was higher around the mouth of the Connecticut River and lower to the north and west. Cluster analysis identified one area of increased HGE risk (relative risk=1.8, p=0.001). This study demonstrates the utility of geographic information systems and spatial analysis to clarify the epidemiology of HGE.

引用

页码：943 / 948

页数：6

共 40 条

[1] HUMAN GRANULOCYTIC EHRLICHIOSIS IN THE UPPER MIDWEST UNITED-STATES - A NEW SPECIES EMERGING [J].