Titre :
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Towards landscape design guidelines for reducing Lyme disease risk. (2006)
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Auteurs :
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Laura-E JACKSON ;
Elizabeth-D HILBORN ;
James-C Thomas ;
Us Environmental Protection Agency. Office of Research and Development. National Health and Environmental Effects Research Laboratory. Research Triangle Park. NC. USA
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Type de document :
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Article
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Dans :
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International journal of epidemiology (vol. 35, n° 2, 2006)
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Pagination :
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315-322
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Langues:
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Anglais
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Mots-clés :
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Bactériose
;
Infection
;
Facteur risque
;
Epidémiologie
;
Recommandation
;
Etats Unis
;
Amérique
;
Homme
;
Amérique du Nord
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Résumé :
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[BDSP. Notice produite par INIST-CNRS JDBR0xEm. Diffusion soumise à autorisation]. Background : Incidence of Lyme disease in the US continues to grow. Low-density development is also increasing in endemic regions, raising questions about the relationship between development pattern and disease. This study sought to model Lyme disease incidence rate using quantitative, practical metrics of regional landscape pattern. The objective was to progress towards the development of design guidelines that may help minimize known threats to human and environmental health. Methods : Ecological analysis was used to accommodate the integral landscape variables under study. Case data derived from passive surveillance reports across 12 counties in the US state of Maryland during 1996-2000 ; 2137 cases were spatially referenced to residential addresses. Major roads were used to delineate 514 landscape analysis units from 0.002 to 580 km2. Results : The parameter that explained the most variation in incidence rate was the percentage of land-cover edge represented by the adjacency of forest and herbaceous cover [R2=0.75 ; rate ratio=1.34 (1.26-1.43) ; P
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