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研究生: 王怡文
Wang, Yi-Wen
論文名稱: 2015年台南市登革熱疫情分佈狀況及擴散因素分析
Dengue Fever Distribution and Diffusion factor Analysis – The case of Tainan , Taiwan in 2015
指導教授: 張國楨
Chang, Kuo-Chen
學位類別: 碩士
Master
系所名稱: 地理學系
Department of Geography
論文出版年: 2018
畢業學年度: 106
語文別: 中文
論文頁數: 76
中文關鍵詞: 熱點分析登革熱開放資料地理資訊系統時空分析
英文關鍵詞: Hot Spot Analysis, Dengue Fever, Open Data, Geographic Information Systems (GIS), Spatio-Temporal Analysis
DOI URL: http://doi.org/10.6345/THE.NTNU.DG.009.2018.A05
論文種類: 學術論文
相關次數: 點閱:249下載:21
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  • 自2015年6月底起至當年10月初為止,台南市發生近年來最嚴重的登革熱流行疫情:短短三個月間不斷快速地新增患病個案數、累積死亡人數更高達112人。為深入探討與分析2015年下半年登革熱疫情長時間、大範圍及高強度影響台南市民健康的狀況,本研究以台南市政府資料開放平台及內政部疾病管制署提供的人口統計資料、交通要道資訊與登革熱確診病例統計等開放資料,以地理資訊系統進行多種空間方法的分析,以釐清各項因素的顯著性。研究目標是能得出登革熱疫情嚴重的根本原因,在未來能提供台南市政府及市民作為公共衛生與安全之背景資訊,更有效率的防治登革熱疫情發生。
    研究成果顯示:自8月疫情爆發後,北區始終是登革熱熱點。隨著時間及交通要道因子先向東北方的永康區、西南方的中西區及南區擴散;直至9月底受人口分布影響擴散至東區,屬於混合型擴散。其中左右疫情的因子包含主要交通要道—台17甲(金華路)、人口集中區以及雨水下水道系統。雨水下水道系統出露在地表的孔蓋為病媒蚊快速繁衍後代、傳播病毒的重要媒介,也是本次疫情最主要的擴散因素。

    During late June to early October in 2015, a major outbreak of dengue fever occurred in Tainan City. It was the most serious dengue fever epidemic in recent years. In merely three months, the cases of infection inclined drastically, and it had strike a total of 112 deaths. To analyze how the long time period, large extent and high intensity of dengue fever affected the health condition of Tainan civilian, this study conduct various spatial statistic analysis with GIS to determine the confidence of every factors using population statistics provided by the socioeconomic database groups in National Geographic Information System (NGIS) and Centers for Disease Control (CDC), shapefiles of major roads and the statistics of confirmed dengue fever records. The aim of this study is to figure out the cause if the serious dengue fever outbreak. The result can provide information about public hygiene and health for the city hall and the civilians, so that the precaution methods against dengue fever in the future will be more effective.

    The result of the research shows that the hot spot of the dengue fever located in North Dist. since the epidemic outbreak started at middle August. In the first few weeks, epidemic spread to Yong Kong Dist. at the north east and Middle West Dist. and South Dist. at the south west as a cause of the factor, the arterial road. Then, epidemic was affected by population distribution and diffused to East Dist. in late September. It indicates a typical mixed diffusion mode for this case. The factors that affect the epidemic includes arterial road, Provincial Road 17 (Jinhua Rd.), high population density and sewage system. The drain covers of sewage are an important medium for mosquitos’ fast reproduction and the spread of virus, which is the main diffusion factor of this epidemic.

    第一章 緒論 1 第一節 研究動機與目的 1 第二節 研究範圍 3 第三節 研究限制 6 第二章 文獻回顧 7 第一節 登革熱機制 7 第二節 疾病地理學 16 第三節 台灣登革熱案例 21 第四節 空間分析方法論 24 第五節 小結 27 第三章 研究方法 29 第一節 資料前處理 29 第二節 研究流程 32 第三節 分析方法 34 第四節 研究設計 37 第四章 實證分析 43 第一節 環境變化分析 43 第二節 核密度估計 51 第三節 區域空間自相關 53 第四節 地理加權迴歸 57 第五節 時空聚集分析 62 第五章 結論 64 第一節 研究成果 64 第二節 後續研究建議 66 參考文獻 67

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