目的 探讨甘肃省4种主要自然疫源性疾病空间分布特征, 掌握高发重点区域, 为疫情防控提供理论依据。方法 利用Flexible空间扫描统计量对甘肃省2009-2013年4种自然疫源性疾病进行空间扫描分析, 通过地理信息系统呈现空间聚集区域。结果 空间扫描结果显示, 甘肃省4种自然疫源性疾病具有明显的空间聚集区域。其中, 肾综合征出血热、布鲁氏菌病(布病)和炭疽主要集中在甘肃省东南部的湿润区, 呈现出东南多西北少的特点, 并且布病和炭疽高发区主要在农牧区。疟疾主要集中在甘肃省西部地区。结论 Flexible空间扫描软件与地理信息系统相结合可有效对甘肃省4种自然疫源性疾病的空间聚集性作出早期预警。

Objective To explore the spatial distribution of 4 natural foci diseases in Gansu province and provide theoretical basis for the diseases prevention and control. Methods Spatial clustering analysis was used to draw the higher incidence areas of 4 natural foci diseases from 2009 to 2013 in Gansu province, simultaneously, Geographic Information System(GIS) was also employed to visualize results of cluster detection tests. Results The results of the spatial clustering detection showed that the districts with spatial aggregation display a marked difference of 4 natural foci diseases. The hemorrhagic fever, brucellosis and anthrax mainly concentrated in the humid region in southeast of Gansu province, the cases were more prevalent in southeast and less in northwest. The brucellosis and anthrax high-risk areas mainly concentrated in the pastoral areas, while malaria high-risk areas mainly concentrated in western Gansu. Conclusion The early warning system based on flexible spatial scan statistic and geographical information system could work efficiently.