Analysis of epidemiological characteristics of four natural-focal diseases in Shandong Province, China in 2009-2017: A descriptive analysis
Natural-focal diseases are serious diseases that endanger human health. They threaten about 100 million people in Shandong Province, and cause illness in thousands of people each year. However, information on the epidemiological characteristics of natural-focal diseases in Shandong Province has been...
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description | Natural-focal diseases are serious diseases that endanger human health. They threaten about 100 million people in Shandong Province, and cause illness in thousands of people each year. However, information on the epidemiological characteristics of natural-focal diseases in Shandong Province has been limited. The purpose of the study was to describe and analyze the epidemiological characteristics of natural-focal diseases in Shandong Province, 2009-2017.
We describe the incidence and distribution of four natural-focal diseases in Shandong Province using surveillance data from 2009-2017.
From 2009-2017, 11123 cases of four natural-focal diseases including 257 deaths were reported in Shandong Province, China. The four natural-focal diseases were severe fever with thrombocytopenia syndrome (SFTS), human granulocytic anaplasmosis (HGA), typhus, and scrub typhus. The high-risk groups of the four diseases were farmers and the elderly. The incidence rate of scrub typhus was significantly higher in females. However, this difference was not seen in the other three diseases. The four diseases were mainly clustered in the middle-southern part of Shandong Province and the Shandong Peninsula. The annual incidence of SFTS and scrub typhus increased, typhus was relatively stable, and HGA declined. However, the range of SFTS expanded, while HGA shrunk, and typhus and scrub typhus were unchanged. The epidemic period of SFTS and HGA was from May to October, typhus was from October to November, and scrub typhus was from September to November. The fatality rates of SFTS, typhus, scrub typhus, and HGA were 9.19%, 0%, 0.01%, and 2.24%, respectively.
Our study described and analyzed the prevalence of natural-focal diseases in Shandong Province, and confirmed that age was closely related to the SFTS fatality rate. This study may help to improve the understanding of the prevalence of natural-focal diseases in Shandong Province in recent years and to better develop accurate prevention and control strategies for natural-focal diseases. |
doi_str_mv | 10.1371/journal.pone.0221677 |
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We describe the incidence and distribution of four natural-focal diseases in Shandong Province using surveillance data from 2009-2017.
From 2009-2017, 11123 cases of four natural-focal diseases including 257 deaths were reported in Shandong Province, China. The four natural-focal diseases were severe fever with thrombocytopenia syndrome (SFTS), human granulocytic anaplasmosis (HGA), typhus, and scrub typhus. The high-risk groups of the four diseases were farmers and the elderly. The incidence rate of scrub typhus was significantly higher in females. However, this difference was not seen in the other three diseases. The four diseases were mainly clustered in the middle-southern part of Shandong Province and the Shandong Peninsula. The annual incidence of SFTS and scrub typhus increased, typhus was relatively stable, and HGA declined. However, the range of SFTS expanded, while HGA shrunk, and typhus and scrub typhus were unchanged. The epidemic period of SFTS and HGA was from May to October, typhus was from October to November, and scrub typhus was from September to November. The fatality rates of SFTS, typhus, scrub typhus, and HGA were 9.19%, 0%, 0.01%, and 2.24%, respectively.
Our study described and analyzed the prevalence of natural-focal diseases in Shandong Province, and confirmed that age was closely related to the SFTS fatality rate. This study may help to improve the understanding of the prevalence of natural-focal diseases in Shandong Province in recent years and to better develop accurate prevention and control strategies for natural-focal diseases.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0221677</identifier><identifier>PMID: 31454372</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Adolescent ; Adult ; Age Distribution ; Aged ; Aged, 80 and over ; Analysis ; Anaplasmosis ; Biology and Life Sciences ; Care and treatment ; Child ; Child, Preschool ; China - epidemiology ; Communicable diseases ; Disease ; Disease control ; Disease prevention ; Diseases ; Elderly ; Epidemics ; Epidemiology ; Farmers ; Fatalities ; Female ; Females ; Fever ; Geography ; Geriatrics ; Health ; Health risks ; Health surveillance ; Humans ; Incidence ; Infant ; Infant, Newborn ; Infectious diseases ; Laboratories ; Male ; Medicine and Health Sciences ; Middle Aged ; Morbidity ; Mortality ; Orientia tsutsugamushi ; People and Places ; Prevalence studies (Epidemiology) ; Public health ; Risk factors ; Risk groups ; Scrub typhus ; Thrombocytopenia ; Typhus</subject><ispartof>PloS one, 2019-08, Vol.14 (8), p.e0221677-e0221677</ispartof><rights>COPYRIGHT 2019 Public Library of Science</rights><rights>2019 Chen et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2019 Chen et al 2019 Chen et al</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c692t-227cf0a12ef39852e1a39640dda81b76f668464157ce188032295420a8649e773</citedby><cites>FETCH-LOGICAL-c692t-227cf0a12ef39852e1a39640dda81b76f668464157ce188032295420a8649e773</cites><orcidid>0000-0001-7405-0404</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6711524/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6711524/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,2102,2928,23866,27924,27925,53791,53793,79600,79601</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31454372$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Fung, Isaac Chun-Hai</contributor><creatorcontrib>Chen, Rui</creatorcontrib><creatorcontrib>Kou, Zengqiang</creatorcontrib><creatorcontrib>Xu, Liuchen</creatorcontrib><creatorcontrib>Cao, Jie</creatorcontrib><creatorcontrib>Liu, Ziwei</creatorcontrib><creatorcontrib>Wen, Xiaojing</creatorcontrib><creatorcontrib>Wang, Zhiyu</creatorcontrib><creatorcontrib>Wen, Hongling</creatorcontrib><title>Analysis of epidemiological characteristics of four natural-focal diseases in Shandong Province, China in 2009-2017: A descriptive analysis</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>Natural-focal diseases are serious diseases that endanger human health. They threaten about 100 million people in Shandong Province, and cause illness in thousands of people each year. However, information on the epidemiological characteristics of natural-focal diseases in Shandong Province has been limited. The purpose of the study was to describe and analyze the epidemiological characteristics of natural-focal diseases in Shandong Province, 2009-2017.
We describe the incidence and distribution of four natural-focal diseases in Shandong Province using surveillance data from 2009-2017.
From 2009-2017, 11123 cases of four natural-focal diseases including 257 deaths were reported in Shandong Province, China. The four natural-focal diseases were severe fever with thrombocytopenia syndrome (SFTS), human granulocytic anaplasmosis (HGA), typhus, and scrub typhus. The high-risk groups of the four diseases were farmers and the elderly. The incidence rate of scrub typhus was significantly higher in females. However, this difference was not seen in the other three diseases. The four diseases were mainly clustered in the middle-southern part of Shandong Province and the Shandong Peninsula. The annual incidence of SFTS and scrub typhus increased, typhus was relatively stable, and HGA declined. However, the range of SFTS expanded, while HGA shrunk, and typhus and scrub typhus were unchanged. The epidemic period of SFTS and HGA was from May to October, typhus was from October to November, and scrub typhus was from September to November. The fatality rates of SFTS, typhus, scrub typhus, and HGA were 9.19%, 0%, 0.01%, and 2.24%, respectively.
Our study described and analyzed the prevalence of natural-focal diseases in Shandong Province, and confirmed that age was closely related to the SFTS fatality rate. This study may help to improve the understanding of the prevalence of natural-focal diseases in Shandong Province in recent years and to better develop accurate prevention and control strategies for natural-focal diseases.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Age Distribution</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Analysis</subject><subject>Anaplasmosis</subject><subject>Biology and Life Sciences</subject><subject>Care and treatment</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>China - epidemiology</subject><subject>Communicable diseases</subject><subject>Disease</subject><subject>Disease control</subject><subject>Disease prevention</subject><subject>Diseases</subject><subject>Elderly</subject><subject>Epidemics</subject><subject>Epidemiology</subject><subject>Farmers</subject><subject>Fatalities</subject><subject>Female</subject><subject>Females</subject><subject>Fever</subject><subject>Geography</subject><subject>Geriatrics</subject><subject>Health</subject><subject>Health risks</subject><subject>Health surveillance</subject><subject>Humans</subject><subject>Incidence</subject><subject>Infant</subject><subject>Infant, Newborn</subject><subject>Infectious diseases</subject><subject>Laboratories</subject><subject>Male</subject><subject>Medicine and Health Sciences</subject><subject>Middle Aged</subject><subject>Morbidity</subject><subject>Mortality</subject><subject>Orientia tsutsugamushi</subject><subject>People and Places</subject><subject>Prevalence studies (Epidemiology)</subject><subject>Public health</subject><subject>Risk factors</subject><subject>Risk groups</subject><subject>Scrub typhus</subject><subject>Thrombocytopenia</subject><subject>Typhus</subject><issn>1932-6203</issn><issn>1932-6203</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>DOA</sourceid><recordid>eNqNk12LEzEUhgdR3HX1H4gOCKJgaz5mkokXQil-FBZWXPU2nGbOtCnTpJvMFPc3-KdNt7NLK3shuUg4ec57kjc5WfackjHlkr5f-T44aMcb73BMGKNCygfZKVWcjQQj_OHB-iR7EuOKkJJXQjzOTjgtyoJLdpr9mSSN62hj7pscN7bGtfWtX1gDbW6WEMB0GGzsrLlBmlQ1d9D1AdpR43dUbSNCxJhbl18uwdXeLfJvwW-tM_guny6tg90eI0SNGKHyQz7Ja4wm2E1nt5jDcISn2aMG2ojPhvks-_n504_p19H5xZfZdHI-MkKxbsSYNA0ByrDhqioZUuBKFKSuoaJzKRohqkIUtJQGaVURzpgqC0agEoVCKflZ9nKvu2l91IOPUTNWJWMl52UiZnui9rDSm2DXEK61B6tvAj4sNIRkSYuaVA3DuhRg5qpQXEGJRs6JVEAbLKRIWh-Hav18jbVB1yXvjkSPd5xd6oXfaiEpLVmRBN4MAsFf9Rg7vbbRYNuCQ9_vz52eNdmb0Ff_oPffbqAWkC5gXeNTXbMT1ZNSyeSVUixR43uoNHZfxKRP19gUP0p4e5SQmA5_dwvoY9Szy-__z178OmZfH7BLhLZbRt_2nfUuHoPFHjTBxxiwuTOZEr3rmVs39K5n9NAzKe3F4QPdJd02Cf8La50QMQ</recordid><startdate>20190827</startdate><enddate>20190827</enddate><creator>Chen, 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of epidemiological characteristics of four natural-focal diseases in Shandong Province, China in 2009-2017: A descriptive analysis</title><author>Chen, Rui ; Kou, Zengqiang ; Xu, Liuchen ; Cao, Jie ; Liu, Ziwei ; Wen, Xiaojing ; Wang, Zhiyu ; Wen, Hongling</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c692t-227cf0a12ef39852e1a39640dda81b76f668464157ce188032295420a8649e773</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Age Distribution</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Analysis</topic><topic>Anaplasmosis</topic><topic>Biology and Life Sciences</topic><topic>Care and treatment</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>China - epidemiology</topic><topic>Communicable diseases</topic><topic>Disease</topic><topic>Disease control</topic><topic>Disease 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Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>PloS one</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Chen, Rui</au><au>Kou, Zengqiang</au><au>Xu, Liuchen</au><au>Cao, Jie</au><au>Liu, Ziwei</au><au>Wen, Xiaojing</au><au>Wang, Zhiyu</au><au>Wen, Hongling</au><au>Fung, Isaac Chun-Hai</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Analysis of epidemiological characteristics of four natural-focal diseases in Shandong Province, China in 2009-2017: A descriptive analysis</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2019-08-27</date><risdate>2019</risdate><volume>14</volume><issue>8</issue><spage>e0221677</spage><epage>e0221677</epage><pages>e0221677-e0221677</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>Natural-focal diseases are serious diseases that endanger human health. They threaten about 100 million people in Shandong Province, and cause illness in thousands of people each year. However, information on the epidemiological characteristics of natural-focal diseases in Shandong Province has been limited. The purpose of the study was to describe and analyze the epidemiological characteristics of natural-focal diseases in Shandong Province, 2009-2017.
We describe the incidence and distribution of four natural-focal diseases in Shandong Province using surveillance data from 2009-2017.
From 2009-2017, 11123 cases of four natural-focal diseases including 257 deaths were reported in Shandong Province, China. The four natural-focal diseases were severe fever with thrombocytopenia syndrome (SFTS), human granulocytic anaplasmosis (HGA), typhus, and scrub typhus. The high-risk groups of the four diseases were farmers and the elderly. The incidence rate of scrub typhus was significantly higher in females. However, this difference was not seen in the other three diseases. The four diseases were mainly clustered in the middle-southern part of Shandong Province and the Shandong Peninsula. The annual incidence of SFTS and scrub typhus increased, typhus was relatively stable, and HGA declined. However, the range of SFTS expanded, while HGA shrunk, and typhus and scrub typhus were unchanged. The epidemic period of SFTS and HGA was from May to October, typhus was from October to November, and scrub typhus was from September to November. The fatality rates of SFTS, typhus, scrub typhus, and HGA were 9.19%, 0%, 0.01%, and 2.24%, respectively.
Our study described and analyzed the prevalence of natural-focal diseases in Shandong Province, and confirmed that age was closely related to the SFTS fatality rate. This study may help to improve the understanding of the prevalence of natural-focal diseases in Shandong Province in recent years and to better develop accurate prevention and control strategies for natural-focal diseases.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>31454372</pmid><doi>10.1371/journal.pone.0221677</doi><tpages>e0221677</tpages><orcidid>https://orcid.org/0000-0001-7405-0404</orcidid><oa>free_for_read</oa></addata></record> |
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language | eng |
recordid | cdi_plos_journals_2281377335 |
source | MEDLINE; DOAJ Directory of Open Access Journals; Public Library of Science (PLoS) Journals Open Access; EZB-FREE-00999 freely available EZB journals; PubMed Central; Free Full-Text Journals in Chemistry |
subjects | Adolescent Adult Age Distribution Aged Aged, 80 and over Analysis Anaplasmosis Biology and Life Sciences Care and treatment Child Child, Preschool China - epidemiology Communicable diseases Disease Disease control Disease prevention Diseases Elderly Epidemics Epidemiology Farmers Fatalities Female Females Fever Geography Geriatrics Health Health risks Health surveillance Humans Incidence Infant Infant, Newborn Infectious diseases Laboratories Male Medicine and Health Sciences Middle Aged Morbidity Mortality Orientia tsutsugamushi People and Places Prevalence studies (Epidemiology) Public health Risk factors Risk groups Scrub typhus Thrombocytopenia Typhus |
title | Analysis of epidemiological characteristics of four natural-focal diseases in Shandong Province, China in 2009-2017: A descriptive analysis |
url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-02T12%3A22%3A58IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_plos_&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Analysis%20of%20epidemiological%20characteristics%20of%20four%20natural-focal%20diseases%20in%20Shandong%20Province,%20China%20in%202009-2017:%20A%20descriptive%20analysis&rft.jtitle=PloS%20one&rft.au=Chen,%20Rui&rft.date=2019-08-27&rft.volume=14&rft.issue=8&rft.spage=e0221677&rft.epage=e0221677&rft.pages=e0221677-e0221677&rft.issn=1932-6203&rft.eissn=1932-6203&rft_id=info:doi/10.1371/journal.pone.0221677&rft_dat=%3Cgale_plos_%3EA597542992%3C/gale_plos_%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2281377335&rft_id=info:pmid/31454372&rft_galeid=A597542992&rft_doaj_id=oai_doaj_org_article_08f2ed56acb94939a5ec7b079a1fe476&rfr_iscdi=true |