UNASSIGNED: This study aims to detect the spatial and temporal distribution of human brucellosis in Iraq and identify any changes that occurred from 2007 to 2018.
UNASSIGNED: A descriptive, cross-sectional study was conducted using secondary data from the Surveillance Section at the Communicable Diseases Control Center, Public Health Directorate, Ministry of Health in Iraq. The trends of cases by sex and age group from 2007 to 2018 were displayed. The seasonal distribution of the cases from 2007 to 2012 was graphed. We calculated the incidence of human brucellosis per district per year and used local Getis-Ord Gi* statistics to detect the spatial distribution of the data. The data were analyzed using Microsoft Excel and GeoDa software.
UNASSIGNED: A total of 51,508 human brucellosis cases were reported during the 12-year study period, with some missing data for age groups. Human brucellosis persisted annually in Iraq across the study period with no specific temporal clustering of cases. In contrast, spatial clustering was predominant in northern Iraq.
UNASSIGNED: There were significant differences in the geographic distribution of brucellosis. The number of cases is the highest in the north and northeast regions of the country, which has borders with nearby countries. In addition, people in these areas depend more on locally made dairy products, which can be inadequately pasteurized. Despite the lack of significant temporal clustering of cases, the highest number of cases were reported during summer and spring. Considering these patterns when allocating resources to combat this disease, determining public health priorities, and planning prevention and control strategies is important.
■这项研究旨在检测伊拉克人类布鲁氏菌病的时空分布,并确定2007年至2018年发生的任何变化。
■描述性的,横断面研究使用传染病控制中心监测科的次要数据进行,公共卫生局,伊拉克卫生部。显示了2007年至2018年按性别和年龄组划分的病例趋势。绘制了2007年至2012年病例的季节性分布图。我们计算了每个地区每年的人类布鲁氏菌病发病率,并使用当地的Getis-OrdGi*统计数据来检测数据的空间分布。使用MicrosoftExcel和GeoDa软件分析数据。
■在12年的研究期间,共报告了51,508例人类布鲁氏菌病病例,缺少一些年龄组的数据。在整个研究期间,人类布鲁氏菌病每年在伊拉克持续存在,没有特定的时间聚集病例。相比之下,空间聚集在伊拉克北部占主导地位。
■布鲁氏菌病的地理分布存在显著差异。病例数是全国北部和东北部地区最多,与附近国家有边界。此外,这些地区的人们更多地依赖当地制造的乳制品,这可能是不充分的巴氏杀菌。尽管病例缺乏显著的时间聚类,夏季和春季报告的病例最多。在分配资源抗击这种疾病时考虑到这些模式,确定公共卫生优先事项,规划预防和控制策略很重要。