THE GEOGRAPHIC STRUCTURE OF MEASLES EPIDEMICS IN THE NORTHEASTERN UNITED-STATES

被引:11
作者
CLIFF, AD
HAGGETT, P
STROUP, DF
机构
[1] UNIV BRISTOL,DEPT GEOG,BRISTOL BS8 1TH,AVON,ENGLAND
[2] CTR DIS CONTROL,EPIDEMIOL PROGRAM OFF,DIV SURVEILLANCE & EPIDEMIOL,ATLANTA,GA 30333
基金
英国惠康基金;
关键词
DISEASE OUTBREAKS; IMMUNITY; CELLULAR; MEASLES; SPACE-TIME CLUSTERING;
D O I
10.1093/oxfordjournals.aje.a116537
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
The incidence of disease across geographic space often produces distinctive regional patterns. In this paper, a modeling approach to the identification of the factors that shape the patterns is presented, and a procedure for fitting the model to observed data is given. The methodology is illustrated by an application to the geographic structure of measles epidemics among 22 states of the northeastern United States, New York City, and Washington, D. C., from 1962 to 1988. The patterns identified are interpreted in terms of the spatial behavior of measles epidemics in the region, and the implications of the methodology for surveillance and control are considered. z
引用
收藏
页码:592 / 602
页数:11
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