侵袭性肺炎球菌疾病的爆发检测ppt课件.ppt

Tom Hennessy, MD, MPH Arctic Investigations Program National Center for Emerging and Zoonotic Infectious Diseases Centers for Disease Control and Prevention (CDC) Anchorage, Alaska tbh0@ ;2;Proportion of US homes with complete plumbing, 1940 - 2000;Proportion of US homes with complete plumbing, 1940 - 2000;Proportion of US homes with complete plumbing, 1940 - 2000;Proportion of US homes with complete plumbing, 1940 - 2000;Proportion of US homes with complete plumbing, 1940 - 2000;What we know;Water-related infections:The Bradley Classification*;Examples of “Water-washed” Diseases;What we know;12;13;;Statewide survey “Served” homes have internal plumbing Municipal piped water, pressure tanks, private wells “Unserved” without internal plumbing Self-hauled water ;In-Home Water and Sewer Service, Rural Alaska Regions, 2001;Hospitalization Rates for “High” and “Low” Water Service Regions, Alaska, 2000-2004;18;Hospitalization rates for Alaska Native infants, according to percent of homes with water service 1999 - 2004*; Hospitalization rates for infants in villages with 10% of homes with water service, compared with U.S. infants;Skin infection rates, all ages, by village water service, Southwest Alaska, 1999 - 2000;Serious infections with Streptococcus pneumoniae in children 5 years old, Southwest Alaska, 2001-2007;LRI Incidence Among Alaska Children 2 years, Enrolled in Medicaid 1998- 2003;Dental Caries, a Water-washed Disease?;Dental Caries in Primary Teeth by Village Fluoridation Status, Southwest Alaska, 2008;26;Summary of Alaska Data;Other Studies in Progress;Remaining questions;Collecting Water: Red Devil, AK;Limitations of Health Data;Uses of Health Data ;Summary;34;Thanks to…;Infectious Disease Hospitalizations by Region, 2000-2004;Villages Grouped by Water Service, YK Region;Type of Water Service, YK Region;39;/;41;Incidence of pneumonia in children younger than 5 years, Pakistan;Risk Factors for Dental Caries, Multivariate Analysis;;Cumulative prop