原创力文档visceral leishmaniasis in muzaffarpur district, bihar, india from 1990 to 2008内脏利什曼病muzaffarpur地区、比哈尔邦、印度从1990年到2008年.pdfVIP
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visceral leishmaniasis in muzaffarpur district, bihar, india from 1990 to 2008内脏利什曼病muzaffarpur地区、比哈尔邦、印度从1990年到2008年
Visceral Leishmaniasis in Muzaffarpur District, Bihar,
India from 1990 to 2008
1. 2. 1 2 1
Paritosh Malaviya , Albert Picado , Shri Prakash Singh , Epco Hasker , Rudra Pratap Singh , Marleen
2 1
Boelaert , Shyam Sundar *
1 Institute of Medical Sciences, Banaras Hindu University, Varanasi, India, 2 Epidemiology and Disease Control Unit, Department of Public Health, Institute of Tropical
Medicine, Antwerp, Belgium
Abstract
Background: Visceral Leishmaniasis (VL) is a vector-borne disease transmitted by Phlebotomus argentipes. To understand the
VL seasonality, annual and monthly variations of VL incidence and its relationship to meteorological variables, the numbers
of VL cases reported in Muzaffarpur district, Bihar, India from 1990 to 2008 were studied.
Methods: Annual VL incidence per 10,000 and the total number of annual VL cases reported at block Community Health
Centres (CHC), Public Hospitals or Non-Governmental Organisations (NGO) and the number of VL cases per month from
2000 to 2008 as well as the monthly average of cases for 2000–08, 2000–04 and 2005–08 periods along with the monthly
averages of temperature, rainfall and relative humidity were plotted. VL Standardised Incidence Ratios per block were
computed for the periods of 1990–1993, 1994–1998, 1999–2004 and 2005–2008 and month wise from 2002 to 2008. A
negative binomial regression model was used to evaluate the association between meteorological variables and the
number of VL cases per month from 2000 to 2008.
Results: A total of 68,358 VL cases were reported in Muzaffarpur district from 1990 to 2008, ranging from 1,2481 in 1992 to
1,161 in 2001. The blocks with the
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