Assessing changing vulnerability to dengue in northeastern Brazil using a water-associated disease index approach     

《Global Environmental Change》2014

Water management practices and access to safe water supplies have major implications for human health. While a range of assessments has been developed to assess water vulnerability, limited work has extended these concepts to health and wellbeing. Water-associated disease cycles are characterized by complex linkages between social and ecological determinants, thus conceptualizing vulnerability in the context of health offers a useful framework for analysis. This paper applies a water associated disease index (WADI) as a tool to deepen understanding of changing vulnerability to dengue, comparing conditions in 2000 and 2010 in Pernambuco, Northeast Brazil. Multi-dimensional data were integrated into indicators of exposure and susceptibility using the WADI approach, including water access, land cover, climate, and solid waste collection, and outputs were validated and visualized in map form. The findings illustrate heterogeneous patterns of vulnerability to dengue in the region, and highlight trends of seasonal and long-term changes. Highest vulnerability was observed in densely populated Recife and the surrounding coastal region in both time periods, with climate conditions creating seasonal trends in exposure to dengue. While more remote areas in the semi-arid Sertão showed low vulnerability overall, increases were observed in some areas between 2000 and 2010 due to land use intensification and growing population densities. These findings suggest that interventions should consider the dynamic nature of social and ecological factors that contribute to health outcomes and address current as well as future populations vulnerable to dengue transmission. This vulnerability mapping approach can be applied to other water-associated diseases impacted by global environmental change to highlight priority areas for further investigation and contribute towards improving interventions.  相似文献   

Classifying high-prevalence neighborhoods for cardiovascular disease in Texas     

《Applied geography (Sevenoaks, England)》2015

Cardiovascular disease (CVD) is the number one cause of death in the state of Texas. In order to develop effective healthcare policies to combat CVD, it is essential to understand what types of communities are most affected. In this paper, we develop a classification scheme to segment high-prevalence communities based on selected social and demographic characteristics. We find that while many high-prevalence areas reflect traditional relationships between socioeconomic deprivation and poor health outcomes, a subset of more affluent communities in Texas are also affected. This suggests the importance of tailored approaches to prevention that account for this diversity among high-prevalence neighborhoods.  相似文献   

POSSIBLE　HYDROGEOCHEMICAL　PRECONDITIONS　FOR　KASHIN－BECK　DISEASE　IN　TRANSBAIKALIA     

Zamana Leonid Vasilevich 《中国地理科学(英文版)》1995,5(2):185-192

ＰＯＳＳＩＢＬＥＨＹＤＲＯＧＥＯＣＨＥＭＩＣＡＬＰＲＥＣＯＮＤＩＴＩＯＮＳＦＯＲＫＡＳＨＩＮ－ＢＥＣＫＤＩＳＥＡＳＥＩＮＴＲＡＮＳＢＡＩＫＡＬＩＡ￥ＺａｍａｎａＬｅｏｎｉｄＶａｓｉｌｅｖｉｃｈ（ＣｈｉｔａＩｎｓｔｉｔｕｔｅｏｆＮａｔｕｒａｌＲｅｓｏｕ...  相似文献   

北京地区细菌性痢疾医疗气象预报模式及流行风险水平评估     

张姝丽  孙培源  张德山  蒲永兰  韦懿云  赵娜  宛公展 《气候与环境研究》2009,14(6):673-677

研究了北京市海淀区2004～2006年全年逐日细菌性痢疾发病率与地面气象要素的相关关系.结果发现,细菌性痢疾发病与水汽压(空气绝对湿度)高度相关,单相关系数平均可达0.85以上.在所有候选预报因子中,它的方差贡献可占80%.采用多元回归概率分级技术,建立了细菌性痢疾医疗气象预报及风险水平评估模式.该模式预报结果可为各级疾病预防控制中心指导广大城乡居民卫生防疫提供科学依据.  相似文献   

昆明地区气象条件变化与脑血管疾病的联系   总被引：4，自引：0，他引：4  

赵红旭  张丽玲  彭霞 《气候与环境研究》2001,6(4):498-502

对昆明市气象资料及近年来市内两家大型医院脑血管病住院人数进行了对比分析,结果表明,昆明市特有的气象条件变化使得脑血管疾病季节性发病率不同于内地其他地区,出血性脑血管病和缺血性脑血管病在四季均有多发月份,这可能与气候温和地区人们对极端气候适应能力较弱有关.  相似文献   

三种不同乳酸菌对凡纳滨对虾生长、抗病力及肠道菌群结构的影响     

李佳徽  王明阳  田相利  刘龙镇  李海东  李丽  董双林  薛玲 《中国海洋大学学报(自然科学版)》2021,(4)

本研究比较了饲料中添加粪肠球菌(Enterococcus faecalis LYB1)、嗜酸乳杆菌(Lactobacillus acidophilus W2)和凝结芽孢杆菌(Bacillus coagulans NJ17)对凡纳滨对虾(Litopenaeus vannamei)幼虾的生长、抗病力及肠道菌群结构的影响。以基础饲料中分别添加1.0×1010 cfu/kg浓度的3种不同乳酸菌为实验组,以基础饲料为对照组,以投喂方式养殖对虾42 d。养殖结束后,进行14 d的副溶血弧菌(Vibrio parahaemolyticus)攻毒实验。研究表明:投喂3种乳酸菌的实验组对虾的体重、特定生长率、饲料效率和表观消化率均显著高于对照组(P<0.05),其中以添加凝结芽孢杆菌组效果最佳。攻毒实验显示,添加粪肠球菌和嗜酸乳杆菌均可显著降低对虾的累计死亡率(P<0.05)。添加乳酸菌的各实验组对虾的肠道细菌群落结构与对照组相比均发生了明显变化,其中以添加粪肠球菌组差异最大。在门水平上,变形菌门(Proteobacteria)、厚壁菌门(Firmicutes)和拟杆菌门(Bacteroidetes)为对虾肠道优势菌群。在纲分类水平上,α-变形菌纲(Alphaproteobacteria)、丹毒丝菌纲(Erysipelotrichia)和黄杆菌纲(Flavobacteriia)为对虾肠道优势菌群。研究结果显示,凝结芽孢杆菌NJ17对凡纳滨对虾促长效果最佳,而嗜酸乳杆菌W2对对虾抗病力提高效果最佳,3种乳酸菌均明显改善了对虾肠道微生物群落的组成和丰度。  相似文献   

益气和胃胶囊联合八段锦治疗慢性胃炎伴焦虑、抑郁50例          下载免费PDF全文

陈务华  罗仁瀚  余景聪 《应用海洋学学报》2021,37(6):11

目的：探讨益气和胃胶囊联合八段锦治疗慢性胃炎（CG）伴焦虑、抑郁的疗效及其对炎症因子、免疫功能等的影响。方法：选取100 例CG伴焦虑、抑郁的患者为研究对象,按随机数字表法将其分为2组,每组各50 例。对照组行西医常规治疗,治疗组在对照组基础上加用益气和胃胶囊联合八段锦治疗。比较2组综合疗效、焦虑自评量表（SAS）和抑郁自评量表（SDS）评分、患者免疫功能和炎症因子指标变化、不良反应及治疗后6个月生活质量。结果：总有效率治疗组为96.00%（48/50）,对照组为72.00%（36/50）,2组比较,差异有统计学意义（P＜0.01）;治疗前2组SAS与SDS评分、免疫功能及炎症因子指标比较,差异均无统计学意义（P＞0.05）,治疗后2组SAS、SDS评分较治疗前均明显下降,且治疗组治疗后SAS、SDS评分低于对照组,差异均有统计学意义（P＜0.01）;治疗后2组CD3⁺、CD4⁺和CD4⁺/CD8⁺水平较治疗前显著提高,且治疗组升高幅度优于对照组,差异均有统计学意义（P＜0.05）;治疗后2组白细胞介素（IL）-6、IL-7及转化生长因子（TGF）-β1水平较治疗前显著降低,且治疗组降低幅度大于对照组（P＜0.05或P＜0.01）;不良反应发生率治疗组为2.00%（1/50）,对照组为20.00%（10/50）,2组比较,差异有统计学意义（P＜0.01）;出院后6个月随访,生活质量（QOL-100）评分治疗组高于对照组,差异有统计学意义（P＜0.01）。结论：在CG伴焦虑、抑郁的西医常规治疗基础上加用益气和胃胶囊联合八段锦治疗可改善患者焦虑、抑郁症状,提高免疫功能和生活质量,减少炎症反应和不良反应,值得临床推广。  相似文献   

内蒙古固沙造林树木真菌病害区系     

袁秀英  韩艳洁 《中国沙漠》1999,19(3):234-238

系统调查了内蒙古固沙造林树木真菌病害状况,采集到罹病树木１６科３７种（属）,鉴定出病害１２６种、病原真菌７６种,比较了不同树种及不同组织器官的病害类型和病原生态群落组成的差异。根据沙区不同的水热指标与地理条件,讨论了病原物的生态地理区系,并分为乌兰布和沙漠固沙造林区、毛乌素沙地固沙造林区和科尔沁沙地固沙林区。  相似文献   

从来克丁物质与微生物相互作用看水产无脊椎动物对疾病的防御活动     

陈皓文  孙丕喜 《海洋科学进展》1998,(1)

本文从水产无脊椎动物与环境的关系论述其来克丁物质的功能;来克丁与微生物间的相互作用包括相互作用中有关来克丁、微生物种类,作用部位和作用物质等。从来克丁在水产无脊椎动物识别外来物质,包括抵御病原体的作用看,健康发展的水产业之一项关键任务便是认识和掌握来克丁在御防病害活动中的机理。  相似文献   

“六淫”致病的科学性及定量标准探讨   总被引：6，自引：0，他引：6  

李连方  尚品洁  杨金莲 《气候与环境研究》1999,4(1):87-93

《黄帝内经》将气象学中的风、寒、暑、湿、燥、火（热）6种气象现象的太过、不及或非时之候而影响人体病变的发生,又将人体疾病症候状况分成上述6种类似气象现象的类型统称“六淫”。前者为外感疾病病因分类,后者为症候分类。于是,“六淫”就 有了双重含义。对“六淫”的科学含义及其定量标准进行了探讨。  相似文献