Abstract:Objective To explore the influence of meteorological factors on severe fever with thrombocytopenia syndrome (SFTS).Methods Incidence data of SFTS in Daishan County were collected and described. Logistic regression and decision tree were used to analyze the relationship between SFTS and monthly meteorological factors, such as precipitation, average atmospheric pressure, average wind speed, average temperature, average relative humidity, and sunshine duration.Results When monthly average atmospheric pressure was higher than 1 014.2 hPa, the risk of SFTS decreased, and OR (95%CI) was 0.026 (0.003, 0.223). When monthly average temperature was higher than 19.65 ℃, or monthly average relative humidity was higher than 74.5%, the risk of SFTS increased, and OR (95%CI) were 12.889(2.307, 72.016) and 13.417(3.042, 59.171), respectively.Conclusion Monthly average atmospheric pressure lower than 1 014.2 hPa, monthly average temperature higher than 19.65 ℃, and monthly average relative humidity higher than 74.5% might be risk factors of SFTS.
翟羽佳, 李傅冬, 尚晓鹏, 何凡, 林君芬. 气象因素与发热伴血小板减少综合征关联研究[J]. 预防医学, 2016, 28(2): 117-120.
ZHAI Yu-jia, LI Fu-dong, SHANG Xiao-peng, HE Fan, LIN Jun-fen. A study on the association between meteorological factors and severe fever with thrombocytopenia syndrome. Preventive Medicine, 2016, 28(2): 117-120.
[1]中华人民共和国卫生部. 发热伴血小板减少综合征防治指南(2010版) . 中华临床感染病杂志, 2011, 4(4): 193-194. [2]雷晓颖, 张笑爽, 于学杰. 发热伴血小板减少综合征布尼亚病毒研究进展 . 中国公共卫生, 2014, 30(7): 967-971. [3]ZHANG Y Z, HE Y W, DAI Y A, et al. Hemorrhagic fever caused by a novel bunyavirus in China: pathogenesis and correlates of fatal outcome . Clin Infect Dis, 2012, 54(4): 527-533. [4]柴成良, 孙继民, 林君芬, 等. 浙江省发热伴血小板减少综合征病例临床与流行病学特征分析 . 中国预防医学杂志, 2012, 13(12): 904-907. [5]刘芸, 张洁, 王博, 等. 辽宁省新布尼亚病毒流行特点及生物特性分析 . 中国公共卫生, 2013, 29(5): 721-723. [6]吕惠荣, 杨云惠. 信阳市新布尼亚病毒实验室检测结果 . 职业与健康, 2013, 29(16): 2022-2024. [7]叶凌, 任宜, 王忠发, 等. 舟山海岛地区2011—2012年新型布尼亚病毒感染监测分析 . 中国媒介生物学及控制杂志, 2013, 24(5): 429-431. [8]丁晓莉, 占建波. 2013年湖北省麻城市发热伴血小板减少综合征布尼亚病毒人群感染状况调查 . 实用预防医学, 2014, 21(6): 681-682. [9]王玲, 曹海霞, 崔峰, 等. 淄博市发热伴血小板减少综合征监测分析 . 现代预防医学, 2013, 40(18): 3471-3474. [10]许祝平, 钱燕华, 施超, 等. 无锡市新型布尼亚病毒感染情况调查分析 . 中华疾病控制杂志, 2014, 18(3): 239-242. [11]尤爱国, 杨建华, 杜燕华, 等. 2012—2013年河南省发热伴血小板减少综合征流行特征及病原学监测分析 . 中国病原生物学杂志, 2014, 9(6): 552-555. [12]MC-MULLAN L K, FOLK S M, KELLY A J, et al. A new phlebovirus associated with severe febrile illness in Missouri . N Engl J Med, 2012, 367(9): 834-841. [13]DENIC S, JANBEIH J, NAIR S, et al. Acute thrombocytopenia, leucopenia, and multiorgan dysfunction: the first case of SFTS bunyavirus outside China . Case Rep Infect Dis, 2011,2011:204056. [14]CHANG M S, WOO J H. Severe fever with thrombocytopenia syndrome: tick-mediated viral disease . J Korean Med Sci, 2013, 28(6): 795-796. [15]TAKAHASHI T, MAEDA K, SUZUKI T, et al. The first identification and retrospective study of severe fever with thrombocytopenia syndrome in Japan . J Infect Dis, 2014, 209(6): 816-827. [16]CUI F, CAO H X, WANG L, et al. Clinical and epidemiological study on severe fever with thrombocytopenia syndrome in Yiyuan County, Shandong Province, China . Am J Trop Med Hyg, 2013, 88(3): 510-512. [17]刘力. 2010年湖北省发热伴血小板减少综合征的流行病学分析 . 中华流行病学杂志, 2012, 33(2): 168-172. [18]张永振, 周敦金, 熊衍文, 等. 中国淮阳山地区由新蜱传布尼亚病毒引起的出血热 . 中华流行病学杂志, 2011, 32(8): 838-840. [19]尤爱国, 康锴, 王海峰, 等. 气象因素与发热伴血小板减少综合征发病关系的生态学研究 . 中国人兽共患病学报, 2012, 28(9): 898-901.