目的为了科学地预防和控制云南省恙虫病,对云南省2006-2014年恙虫病的发病率(人时)进行聚类分析,为降低其发病率提供科学依据。方法收集云南省疾病报告系统的恙虫病资料,采用Q型聚类分析云南省16个州(市)恙虫病发病率进行评判分类,同时结合分类结果进行恙虫病的地理分布描述。结果云南省16个州市都有恙虫病分布。根据聚类分析结果,将云南省恙虫病分成3个区:1类区为高发地区,是保山市、德宏州、临沧市和西双版纳州;2类区为次发地区,是楚雄州、红河州、玉溪市、丽江市、大理州、普洱市和昆明市;3类区为低发地区,是文山州、怒江州、昭通市、曲靖市和迪庆州。结论保山市、德宏州、临沧市和西双版纳州是云南省恙虫病的高发地区,重点地区应进行重点防控。
We analyzed the incidences (person-time) of scrub typhus (ST) from 2006 to 2014 by a hierarchical cluster analy- sis method (HCAM) to provide a reference for further improving the prevention and control of ST in Yunnan Province, China. Q type cluster method of HCAM was applied to analyze the person time incidences of ST collected from Yunnan Provincial Dis- ease Reporting Information System. The geographical distribution and classification of ST were described throughout Yunnan Province in 16 cities or prefectures. ST incidences were classified into three groups based on HCAM method with the first group of Baoshan City, Dehong Prefecture, Lincang City and Xishuangbanna Prefecture~ the second group of Chuxiong Prefec- ture, Honghe Prefecture, Yuxi City, Lijiang City, Dali Prefecture, Puer City and Kunming City; the third group of Weng- shang Prefecture, Nujiang Prefecture, Zhaotong City, Qujing City and Diqing Prefecture. The highest incidence of ST was in the first group and should strengthen the prevention and control measures.