Data Analysis for Surveillance监测数据分析.ppt

* Data Analysis for Surveillance监测数据分析 Robert E. Fontaine, MD, MSc Division of International Health Epidemiology Program Office * 现场流行病学的内容 Components of Field Epidemiology Surveillance Investigation Communication Action 监测 调查 交流 行动 * 中国X省1998－2002年乙肝病例的每月报告数Cases of Hepatitis B by month of report, Province X, China, 1998-2002 * 分析时需要什么 What is needed for analysis  一致的分子数据 Consistent numerator data 人口资料 Population data 地图 Maps 流行病学家的经常而认真的回顾 Careful and frequent review by the epidemiologist * 肺炎死亡率 Pneumonia mortality 1998年该省中25％的死亡是由于肺炎导致 In 1998 25% of deaths in a province are from pneumonia. 2003年死亡人数中肺炎的比例升高到40％ In 2003 the figure has increased to 40% of deaths from pneumonia. * 1998年和2003年各种死亡原因的百分比Percent of total deaths, 1998 and 2003  * 1998年和2003年各种死亡原因的百分比 Percent of total deaths 1998 and 2003 * 1998年和2003年病因别的死亡率和占全部死因的百分比Cause-specific mortality rate versus Percent of total deaths, 1998 and 2003  * 1998－2002年中国X省百日咳的每月报告病例数Reported cases of pertussis by month, province X, China, 1998-2002 * Seasonal Pattern on Secular Trend长期趋势中的季节模式美国1976－1997年122个城市的肺炎流感的死亡率 Creating a seasonal curve -- Arrange the data Month 1998 1999 2000 2001 2002 Total J 27 21 20 12 32 112 F 18 9 28 16 55 126 M 36 25 33 47 42 183 A 44 22 24 24 27 141 M 23 19 13 23 32 110 J 22 49 44 37 29 181 J 39 60 67 30 32 228 A 28 75 42 41 29 215 S 28 40 28 47 20 163 O 23 27 13 36 21 120 N 14 25 23 34 25 121 D 22 25 21 23 13 104 Total Cases of Pertussis by Month, Province Y, China, 1998-2002 * 1970－1997年El Salvador的四个村合作开展的疟疾病例监测的季节分布模式 Seasonal distribution of malaria cases by month of detection by voluntary collaborators in four villages, El Salvador, 1970-1977 P. falciparum P. vivax San Antonio, Usulutan Las Guarumas, La Paz San Francisco, Usulutan La Canoa, Usulutan Percent of annual cases Month Percent of total malaria cases by month for 1970-1977, San Antonio, Usulutan, El Salvador Mean malaria incidence rates by month for 1970-1977, San Antoni