Epidemiological characteristics and spatiotemporal patterns of scrub typhus in Fujian province during 2012-2020.
Background Scrub typhus has become a serious public health concern in the Asia-Pacific region including China. There were new natural foci continuously recognized and dramatically increased reported cases in mainland China. However, the epidemiological characteristics and spatiotemporal patterns of...
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ftdoajarticles:oai:doaj.org/article:5e051b383e424bd4bb12dad8d2db403d 2023-05-15T15:16:19+02:00 Epidemiological characteristics and spatiotemporal patterns of scrub typhus in Fujian province during 2012-2020. Li Qian Yong Wang Xianyu Wei Ping Liu Ricardo J Soares Magalhaes Quan Qian Hong Peng Liang Wen Yuanyong Xu Hailong Sun Wenwu Yin Wenyi Zhang 2022-09-01T00:00:00Z https://doi.org/10.1371/journal.pntd.0010278 https://doaj.org/article/5e051b383e424bd4bb12dad8d2db403d EN eng Public Library of Science (PLoS) https://doi.org/10.1371/journal.pntd.0010278 https://doaj.org/toc/1935-2727 https://doaj.org/toc/1935-2735 1935-2727 1935-2735 doi:10.1371/journal.pntd.0010278 https://doaj.org/article/5e051b383e424bd4bb12dad8d2db403d PLoS Neglected Tropical Diseases, Vol 16, Iss 9, p e0010278 (2022) Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 article 2022 ftdoajarticles https://doi.org/10.1371/journal.pntd.0010278 2022-12-30T23:13:51Z Background Scrub typhus has become a serious public health concern in the Asia-Pacific region including China. There were new natural foci continuously recognized and dramatically increased reported cases in mainland China. However, the epidemiological characteristics and spatiotemporal patterns of scrub typhus in Fujian province have yet to be investigated. Objective This study proposes to explore demographic characteristics and spatiotemporal dynamics of scrub typhus cases in Fujian province, and to detect high-risk regions between January 2012 and December 2020 at county/district scale and thereby help in devising public health strategies to improve scrub typhus prevention and control measures. Method Monthly cases of scrub typhus reported at the county level in Fujian province during 2012-2020 were collected from the National Notifiable Disease Surveillance System. Time-series analyses, spatial autocorrelation analyses and space-time scan statistics were applied to identify and visualize the spatiotemporal patterns of scrub typhus cases in Fujian province. The demographic differences of scrub typhus cases from high-risk and low-risk counties in Fujian province were also compared. Results A total of 11,859 scrub typhus cases reported in 87 counties from Fujian province were analyzed and the incidence showed an increasing trend from 2012 (2.31 per 100,000) to 2020 (3.20 per 100,000) with a peak in 2018 (4.59 per 100,000). There existed two seasonal peaks in June-July and September-October every year in Fujian province. A significant positive spatial autocorrelation of scrub typhus incidence in Fujian province was observed with Moran's I values ranging from 0.258 to 0.471 (P<0.001). Several distinct spatiotemporal clusters mainly concentrated in north and southern parts of Fujian province. Compared to low-risk regions, a greater proportion of cases were female, farmer, and older residents in high-risk counties. Conclusions These results demonstrate a clear spatiotemporal heterogeneity of scrub typhus cases ... Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic Pacific PLOS Neglected Tropical Diseases 16 9 e0010278 |
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Open Polar |
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Directory of Open Access Journals: DOAJ Articles |
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ftdoajarticles |
language |
English |
topic |
Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
spellingShingle |
Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 Li Qian Yong Wang Xianyu Wei Ping Liu Ricardo J Soares Magalhaes Quan Qian Hong Peng Liang Wen Yuanyong Xu Hailong Sun Wenwu Yin Wenyi Zhang Epidemiological characteristics and spatiotemporal patterns of scrub typhus in Fujian province during 2012-2020. |
topic_facet |
Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
description |
Background Scrub typhus has become a serious public health concern in the Asia-Pacific region including China. There were new natural foci continuously recognized and dramatically increased reported cases in mainland China. However, the epidemiological characteristics and spatiotemporal patterns of scrub typhus in Fujian province have yet to be investigated. Objective This study proposes to explore demographic characteristics and spatiotemporal dynamics of scrub typhus cases in Fujian province, and to detect high-risk regions between January 2012 and December 2020 at county/district scale and thereby help in devising public health strategies to improve scrub typhus prevention and control measures. Method Monthly cases of scrub typhus reported at the county level in Fujian province during 2012-2020 were collected from the National Notifiable Disease Surveillance System. Time-series analyses, spatial autocorrelation analyses and space-time scan statistics were applied to identify and visualize the spatiotemporal patterns of scrub typhus cases in Fujian province. The demographic differences of scrub typhus cases from high-risk and low-risk counties in Fujian province were also compared. Results A total of 11,859 scrub typhus cases reported in 87 counties from Fujian province were analyzed and the incidence showed an increasing trend from 2012 (2.31 per 100,000) to 2020 (3.20 per 100,000) with a peak in 2018 (4.59 per 100,000). There existed two seasonal peaks in June-July and September-October every year in Fujian province. A significant positive spatial autocorrelation of scrub typhus incidence in Fujian province was observed with Moran's I values ranging from 0.258 to 0.471 (P<0.001). Several distinct spatiotemporal clusters mainly concentrated in north and southern parts of Fujian province. Compared to low-risk regions, a greater proportion of cases were female, farmer, and older residents in high-risk counties. Conclusions These results demonstrate a clear spatiotemporal heterogeneity of scrub typhus cases ... |
format |
Article in Journal/Newspaper |
author |
Li Qian Yong Wang Xianyu Wei Ping Liu Ricardo J Soares Magalhaes Quan Qian Hong Peng Liang Wen Yuanyong Xu Hailong Sun Wenwu Yin Wenyi Zhang |
author_facet |
Li Qian Yong Wang Xianyu Wei Ping Liu Ricardo J Soares Magalhaes Quan Qian Hong Peng Liang Wen Yuanyong Xu Hailong Sun Wenwu Yin Wenyi Zhang |
author_sort |
Li Qian |
title |
Epidemiological characteristics and spatiotemporal patterns of scrub typhus in Fujian province during 2012-2020. |
title_short |
Epidemiological characteristics and spatiotemporal patterns of scrub typhus in Fujian province during 2012-2020. |
title_full |
Epidemiological characteristics and spatiotemporal patterns of scrub typhus in Fujian province during 2012-2020. |
title_fullStr |
Epidemiological characteristics and spatiotemporal patterns of scrub typhus in Fujian province during 2012-2020. |
title_full_unstemmed |
Epidemiological characteristics and spatiotemporal patterns of scrub typhus in Fujian province during 2012-2020. |
title_sort |
epidemiological characteristics and spatiotemporal patterns of scrub typhus in fujian province during 2012-2020. |
publisher |
Public Library of Science (PLoS) |
publishDate |
2022 |
url |
https://doi.org/10.1371/journal.pntd.0010278 https://doaj.org/article/5e051b383e424bd4bb12dad8d2db403d |
geographic |
Arctic Pacific |
geographic_facet |
Arctic Pacific |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
PLoS Neglected Tropical Diseases, Vol 16, Iss 9, p e0010278 (2022) |
op_relation |
https://doi.org/10.1371/journal.pntd.0010278 https://doaj.org/toc/1935-2727 https://doaj.org/toc/1935-2735 1935-2727 1935-2735 doi:10.1371/journal.pntd.0010278 https://doaj.org/article/5e051b383e424bd4bb12dad8d2db403d |
op_doi |
https://doi.org/10.1371/journal.pntd.0010278 |
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PLOS Neglected Tropical Diseases |
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16 |
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9 |
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e0010278 |
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