Spatiotemporal patterns of Lyme disease in North Carolina: 2010–2020Research in context

Autor: Neha V. Mokashi, Amanda Brown Marusiak, Dana Giandomenico, Alexis M. Barbarin, Carl Williams, Steven W. Seagle, Annie Green Howard, Paul L. Delamater, Ross M. Boyce
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: The Lancet Regional Health. Americas, Vol 35, Iss , Pp 100792- (2024)
Druh dokumentu: article
ISSN: 2667-193X
DOI: 10.1016/j.lana.2024.100792
Popis: Summary: Background: Lyme disease is the most common vector-borne disease in the United States with the majority of cases occurring in the Northeast, upper Midwest, and mid-Atlantic regions. While historically considered a low incidence state, North Carolina (NC) has reported an increasing number of cases over the past decade. Therefore, the aim of this study was to characterise the spatiotemporal evolution of Lyme disease in NC from 2010 to 2020. Methods: Confirmed and probable cases reported to the NC Division of Public Health without associated travel to high-transmission state were included in the analysis. The study period was divided into four sub-periods and data were aggregated by zip code of residence. The absolute change in incidence was mapped and spatial autocorrelation analyses were performed within each sub-period. Findings: We identified the largest absolute changes in incidence in zip codes located in northwestern NC along the Appalachian Mountains. The spatial distribution of cases became increasingly clustered over the study period (Moran's I of 0.012, p = 0.127 in 2010–2012 vs. 0.403, p
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