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Increase in the risk of snakebites incidence due to changes in humidity levels: A time series study in four municipalities of the state of Rond?nia

机译:由于湿度水平变化导致蛇咬发病率的风险:四个城市的龙隆的时间序列研究?尼亚

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INTRODUCTION: Snakebites represent a serious global public health problem, especially in tropical countries. In Brazil, the incidence of snakebites ranges from 19 to 22 thousand cases per 100000 persons annually. The state of Rond?nia, in particular, has had an increasing incidence of snakebites. METHODS: A retrospective cross-sectional study on snakebites was conducted from January 2007 to December 2018. Brazil’s Information System for Notifiable Diseases was queried for all snakebites reported in Porto Velho, Ariquemes, Cacoal, and Vilhena. Data on land surface temperatures during the day and night, precipitation, and humidity were obtained using the Google Earth Engine. A Bayesian time series model was constructed to describe the pattern of snakebites and their relationship with climate data. RESULTS: In total, 6326 snakebites were reported in Rond?nia. Accidents were commonly caused by Bothrops sp. (n=2171, 81.80%). Snakebites most frequently occurred in rural areas (n=2271, 85.5%). Men, with a median age of 34 years (n=2101, 79.1%), were the most frequent bitten. Moderate clinical manifestation was the most common outcome of an accident (n=1101, 41.50%). There were clear seasonal patterns with respect to rainfall, humidity, and temperature. Rainfall and land surface temperature during the day or night did not increase the risk of snakebites in any city; however, changes in humidity increased the risk of snakebites in all cities. CONCLUSION: This study identified the population exposed to snakes and the influence of anthropic and climatic factors on the incidence of snakebites. According to climate data, changes in humidity increased the risk of snakebites.
机译:简介:斯卡贝蒂代表了严重的全球公共卫生问题,特别是在热带国家。在巴西,蛇咬伤的发病率每年每10万人的19至22千例。特别是摇滚状态,特别是蛇咬的发病率越来越多。方法:从2007年1月到2018年1月到2018年12月进行了对蛇卵的回顾性横截面研究。巴西讨论疾病的信息系统是针对Porto Velho,Ariquemes,Cacoal和Vilhena报告的所有蛇咬伤。使用Google地球发动机获得了白天和夜间,降水和湿度的土地表面温度的数据。构建贝叶斯时间序列模型以描述蛇咬的模式及其与气候数据的关系。结果:总共报告了6326个蛇咬伤?NIA。意外的意外是由Bothrops SP引起的。 (n = 2171,81.80%)。农村地区最常发生的蛇咬伤(N = 2271,85.5%)。男性,中位年龄为34岁(n = 2101,79.1%),是最常见的咬伤。中度临床表现是事故中最常见的结果(n = 1101,41.50%)。降雨,湿度和温度有明显的季节性模式。白天或夜晚的降雨量和陆地温度并未增加任何城市的蛇咬伤的风险;然而,湿度的变化增加了所有城市的蛇咬的风险。结论:本研究确定了暴露于蛇的人口以及人类和气候因素对蛇咬伤发病率的影响。根据气候数据,湿度的变化增加了蛇咬伤的风险。
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