Spatial Epidemiology and Physical Environmental Factors Related to Dengue Fever Outbreak: A Case Study in Pathum Thani Province
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Abstract
This study aimed to determine the spatial distribution and physical environment factors related to dengue risk in Pathum Thani province. We performed a Retrospective cohort study of Dengue fever patients between December 2019 and December 2020 from the R506 program. Secondary data was retrieved from the Provincial Public Health Office, Office of Disease Prevention and Control, and Meteorological Department. Statistical analyses were using Poisson regression. Results showed that there were 429 patients with dengue fever, consisting of 226 men (52.68%) and 203 women (47.32%). While classified by age group, we found that most were in the range of 6-18 years, 48.95%. The mean age was 22.76±17.08 years old. Occupations with the highest number of cases were students (53.85%). Distribution of patients with dengue was seen in all areas of the Pathum Thani province. Factors associated with dengue fever in Pathum Thani Province from December 2019 to December 2020 were mosquito larvae (house index: HI) the incidence rate ratio (IRR) was 1.03,(95 % CI: 1.01-1.06) and when analyzing the retrospective data After 10 years (2010-2019), the factors related to the dengue fever rate were the risk scores IRR = 2.15, (95% CI: 1.85-2.51) and no relationship with environmental factors such as mosquito larvae index, temperature, relative humidity, rainfall, and population density were found. Dengue fever surveillance in densely populated urban areas requires strict measures for implementation. Scholl should set up dengue surveillance measures and educate students to prevent dengue fever
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