Spatiotemporal transmission dynamics of hemorrhagic fever with renal syndrome in China, 2005-2012

Hemorrhagic fever with renal syndrome (HFRS) is a rodent-borne disease caused by many serotypes of hantaviruses. In China, HFRS has been recognized as a severe public health problem with 90% of the total reported cases in the world. This study describes the spatiotemporal dynamics of HFRS cases in C...

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Veröffentlicht in:PLoS neglected tropical diseases 2014-11, Vol.8 (11), p.e3344-e3344
Hauptverfasser: Zhang, Wen-Yi, Wang, Li-Ya, Liu, Yun-Xi, Yin, Wen-Wu, Hu, Wen-Biao, Magalhaes, Ricardo J Soares, Ding, Fan, Sun, Hai-Long, Zhou, Hang, Li, Shen-Long, Haque, Ubydul, Tong, Shi-Lu, Glass, Gregory E, Bi, Peng, Clements, Archie C A, Liu, Qi-Yong, Li, Cheng-Yi
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container_issue 11
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container_title PLoS neglected tropical diseases
container_volume 8
creator Zhang, Wen-Yi
Wang, Li-Ya
Liu, Yun-Xi
Yin, Wen-Wu
Hu, Wen-Biao
Magalhaes, Ricardo J Soares
Ding, Fan
Sun, Hai-Long
Zhou, Hang
Li, Shen-Long
Haque, Ubydul
Tong, Shi-Lu
Glass, Gregory E
Bi, Peng
Clements, Archie C A
Liu, Qi-Yong
Li, Cheng-Yi
description Hemorrhagic fever with renal syndrome (HFRS) is a rodent-borne disease caused by many serotypes of hantaviruses. In China, HFRS has been recognized as a severe public health problem with 90% of the total reported cases in the world. This study describes the spatiotemporal dynamics of HFRS cases in China and identifies the regions, time, and populations at highest risk, which could help the planning and implementation of key preventative measures. Data on all reported HFRS cases at the county level from January 2005 to December 2012 were collected from Chinese Center for Disease Control and Prevention. Geographic Information System-based spatiotemporal analyses including Local Indicators of Spatial Association and Kulldorff's space-time scan statistic were performed to detect local high-risk space-time clusters of HFRS in China. In addition, cases from high-risk and low-risk counties were compared to identify significant demographic differences. A total of 100,868 cases were reported during 2005-2012 in mainland China. There were significant variations in the spatiotemporal dynamics of HFRS. HFRS cases occurred most frequently in June, November, and December. There was a significant positive spatial autocorrelation of HFRS incidence during the study periods, with Moran's I values ranging from 0.46 to 0.56 (P
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In China, HFRS has been recognized as a severe public health problem with 90% of the total reported cases in the world. This study describes the spatiotemporal dynamics of HFRS cases in China and identifies the regions, time, and populations at highest risk, which could help the planning and implementation of key preventative measures. Data on all reported HFRS cases at the county level from January 2005 to December 2012 were collected from Chinese Center for Disease Control and Prevention. Geographic Information System-based spatiotemporal analyses including Local Indicators of Spatial Association and Kulldorff's space-time scan statistic were performed to detect local high-risk space-time clusters of HFRS in China. In addition, cases from high-risk and low-risk counties were compared to identify significant demographic differences. A total of 100,868 cases were reported during 2005-2012 in mainland China. There were significant variations in the spatiotemporal dynamics of HFRS. HFRS cases occurred most frequently in June, November, and December. There was a significant positive spatial autocorrelation of HFRS incidence during the study periods, with Moran's I values ranging from 0.46 to 0.56 (P&lt;0.05). Several distinct HFRS cluster areas were identified, mainly concentrated in northeastern, central, and eastern of China. Compared with cases from low-risk areas, a higher proportion of cases were younger, non-farmer, and floating residents in high-risk counties. This study identified significant space-time clusters of HFRS in China during 2005-2012 indicating that preventative strategies for HFRS should be particularly focused on the northeastern, central, and eastern of China to achieve the most cost-effective outcomes.</description><identifier>ISSN: 1935-2735</identifier><identifier>ISSN: 1935-2727</identifier><identifier>EISSN: 1935-2735</identifier><identifier>DOI: 10.1371/journal.pntd.0003344</identifier><identifier>PMID: 25412324</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Adult ; China - epidemiology ; Cluster Analysis ; Data collection ; Disease control ; Distribution ; Female ; Fever ; Hantaviruses ; Health aspects ; Hemorrhagic fever ; Hemorrhagic Fever with Renal Syndrome - epidemiology ; Hemorrhagic Fever with Renal Syndrome - transmission ; Humans ; Incidence ; Kidney failure ; Male ; Medicine and Health Sciences ; Middle Aged ; Public health ; Spatio-Temporal Analysis ; Studies ; Tropical diseases</subject><ispartof>PLoS neglected tropical diseases, 2014-11, Vol.8 (11), p.e3344-e3344</ispartof><rights>COPYRIGHT 2014 Public Library of Science</rights><rights>2014 Zhang et al 2014 Zhang et al</rights><rights>2014 Public Library of Science. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited: Zhang W-Y, Wang L-Y, Liu Y-X, Yin W-W, Hu W-B, Magalhaes RJS, et al. (2014) Spatiotemporal Transmission Dynamics of Hemorrhagic Fever with Renal Syndrome in China, 2005-2012. PLoS Negl Trop Dis 8(11): e3344. doi:10.1371/journal.pntd.0003344</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c627t-e0e43c3a1f0d0df473341127121d009c471054cc1f6fc99febe6e764db57d41c3</citedby><cites>FETCH-LOGICAL-c627t-e0e43c3a1f0d0df473341127121d009c471054cc1f6fc99febe6e764db57d41c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4239011/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4239011/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,2096,2915,23845,27901,27902,53766,53768,79569,79570</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25412324$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Zhang, Wen-Yi</creatorcontrib><creatorcontrib>Wang, Li-Ya</creatorcontrib><creatorcontrib>Liu, Yun-Xi</creatorcontrib><creatorcontrib>Yin, Wen-Wu</creatorcontrib><creatorcontrib>Hu, Wen-Biao</creatorcontrib><creatorcontrib>Magalhaes, Ricardo J Soares</creatorcontrib><creatorcontrib>Ding, Fan</creatorcontrib><creatorcontrib>Sun, Hai-Long</creatorcontrib><creatorcontrib>Zhou, Hang</creatorcontrib><creatorcontrib>Li, Shen-Long</creatorcontrib><creatorcontrib>Haque, Ubydul</creatorcontrib><creatorcontrib>Tong, Shi-Lu</creatorcontrib><creatorcontrib>Glass, Gregory E</creatorcontrib><creatorcontrib>Bi, Peng</creatorcontrib><creatorcontrib>Clements, Archie C A</creatorcontrib><creatorcontrib>Liu, Qi-Yong</creatorcontrib><creatorcontrib>Li, Cheng-Yi</creatorcontrib><title>Spatiotemporal transmission dynamics of hemorrhagic fever with renal syndrome in China, 2005-2012</title><title>PLoS neglected tropical diseases</title><addtitle>PLoS Negl Trop Dis</addtitle><description>Hemorrhagic fever with renal syndrome (HFRS) is a rodent-borne disease caused by many serotypes of hantaviruses. 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In China, HFRS has been recognized as a severe public health problem with 90% of the total reported cases in the world. This study describes the spatiotemporal dynamics of HFRS cases in China and identifies the regions, time, and populations at highest risk, which could help the planning and implementation of key preventative measures. Data on all reported HFRS cases at the county level from January 2005 to December 2012 were collected from Chinese Center for Disease Control and Prevention. Geographic Information System-based spatiotemporal analyses including Local Indicators of Spatial Association and Kulldorff's space-time scan statistic were performed to detect local high-risk space-time clusters of HFRS in China. In addition, cases from high-risk and low-risk counties were compared to identify significant demographic differences. A total of 100,868 cases were reported during 2005-2012 in mainland China. There were significant variations in the spatiotemporal dynamics of HFRS. HFRS cases occurred most frequently in June, November, and December. There was a significant positive spatial autocorrelation of HFRS incidence during the study periods, with Moran's I values ranging from 0.46 to 0.56 (P&lt;0.05). Several distinct HFRS cluster areas were identified, mainly concentrated in northeastern, central, and eastern of China. Compared with cases from low-risk areas, a higher proportion of cases were younger, non-farmer, and floating residents in high-risk counties. This study identified significant space-time clusters of HFRS in China during 2005-2012 indicating that preventative strategies for HFRS should be particularly focused on the northeastern, central, and eastern of China to achieve the most cost-effective outcomes.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>25412324</pmid><doi>10.1371/journal.pntd.0003344</doi><oa>free_for_read</oa></addata></record>
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subjects Adult
China - epidemiology
Cluster Analysis
Data collection
Disease control
Distribution
Female
Fever
Hantaviruses
Health aspects
Hemorrhagic fever
Hemorrhagic Fever with Renal Syndrome - epidemiology
Hemorrhagic Fever with Renal Syndrome - transmission
Humans
Incidence
Kidney failure
Male
Medicine and Health Sciences
Middle Aged
Public health
Spatio-Temporal Analysis
Studies
Tropical diseases
title Spatiotemporal transmission dynamics of hemorrhagic fever with renal syndrome in China, 2005-2012
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