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加拿大安大略地区新移民入境后的结核病发病率变化
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作者 m. I. Creatore m. lam +1 位作者 W. L. Wobeser 徐敏 《结核与肺部疾病杂志》 2005年第3期114-120,共7页
背景:加拿大每年接受超过20 万移民。在安大略省的多伦多,移民病例占所有结核病人的92%。为了实施更为有效的结核病规划,需要了解新移民的流行病学特征。设计:本研究以人群为基础,对1990-1997 年安大略地区新移民作回顾性队列分析。计... 背景:加拿大每年接受超过20 万移民。在安大略省的多伦多,移民病例占所有结核病人的92%。为了实施更为有效的结核病规划,需要了解新移民的流行病学特征。设计:本研究以人群为基础,对1990-1997 年安大略地区新移民作回顾性队列分析。计算调整率、危险度比(RRs)、入境后的危险度,通过补充的log-log模型描述结核病的发病率,比较不同性别、年龄组、出生地区下的生存情况,并确定疾病的预报因子。结果:新移民中的结核病发病率比非土著加拿大人高23 倍(95%CI:20.9-25.5)。16-30 岁和>65 岁两个年龄组发病率最高。来自非洲撒哈拉地区的男性和女性人群(RR=95.5,95%CI:84.3-108.2)的结核病发病率最高,其次是印度和亚洲人。入境后危险度降低,但是仍保持较高水平。最高发病率与1990年入境和在加拿大居住时间<1 年这两个因素相关。结论:结核病发病率随着出生地、入境年龄和在加拿大居住时间而异。性别不具显著性。来自非洲撒哈拉地区和年龄>65 岁的人群发病率最高。在入境后的1-2 年内,发病率明显降低,之后进入平台期。 展开更多
关键词 结核病 流行病学 移居国外者和移入者 预防与控制 队列研究 发病率比 结核病 新移民 加拿大 入境 流行病学特征 不同性别 居住时间 年龄组
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Theoretical assessment of the impact of desert aerosols on the dynamical transmission of meningitidis serogroup A
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作者 A. Otimar Bah m. lam +1 位作者 A. Rah S. Bowong 《International Journal of Biomathematics》 SCIE 2019年第5期263-299,共37页
This paper has been motivated by the following biological question: how influential me desert uerosols in the transmission of meningitidis serogroup A (MenA)? A mathematical model for the dynamical transmission of Men... This paper has been motivated by the following biological question: how influential me desert uerosols in the transmission of meningitidis serogroup A (MenA)? A mathematical model for the dynamical transmission of MenA is considered,with the aim of investigating the impact of desert aerosols.Sensitivity analysis of the model has been performed in order to determine the impact of related parameters on meningitis outbreak.We derive the basic reproduction number R0.We prove that there exists a threshold parameter ζ such that when R0 <ζ< 1,the disease-free equilibrium is globally asymptotically stable (GAS).However,when ζ< R0 < 1,the model exhibits the phenomenon of backward bifurcation.At the endemic level,we show that the number of infectious individuals in the presence of desert aerosols is larger than the correspond-ing number without the presence of desert aerosols.In conjunction with the inequality R0^0< R0 where R0^0 is the basic reproduction number without desert aerosols,we found that the ingestion of aerosols by carriers will increase the endemic level,and the severity of the outbreak.This suggests that the control of MenA passes through a combination of a large coverage vaccination of young susceptible individuals and the production of a vaccine with a high level of efficacy as well as respecting the hygienic rules to avoid the inhalation of desert aerosols.Theoretical results are supported by numerical simulations. 展开更多
关键词 Nonlinear DYNAMICAL systems EPIDEMIOLOGICAL models SEROGROUP A MENINGOCOCCAL infection stability bifurcation
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