Rapid increase of scrub typhus incidence in Guangzhou, southern China, 2006-2014

被引：40

作者：

Sun, Ye ^{[1
,2
]}

Wei, Yue-Hong ^{[3
]}

Yang, Yang ^{[4
,5
]}

Ma, Yu ^{[3
]}

de Vlas, Sake J. ^{[6
]}

Yao, Hong-Wu ^{[1
]}

Huang, Yong ^{[3
]}

Ma, Mai-Juan ^{[1
]}

Liu, Kun ^{[1
]}

Li, Xiao-Ning ^{[3
]}

Li, Xin-Lou ^{[1
]}

Zhang, Wen-Hui ^{[1
]}

Fang, Li-Qun ^{[1
]}

Yang, Zhi-Cong ^{[3
]}

Cao, Wu-Chun ^{[1
]}

机构：

[1] Beijing Inst Microbiol & Epidemiol, State Key Lab Pathogen & Biosecur, 20 Dong Da St, Beijing 100071, Peoples R China

[2] Ctr Dis Control & Prevent Jinan Mil Reg, Jinan 250014, Shandong, Peoples R China

[3] Guangzhou Ctr Dis Control & Prevent, Guangzhou 510440, Guangdong, Peoples R China

[4] Univ Florida, Coll Publ Hlth & Hlth Profess, Dept Biostat, Tallahassee, FL 32311 USA

[5] Univ Florida, Emerging Pathogens Inst, Tallahassee, FL 32311 USA

[6] Univ Med Ctr Rotterdam, Erasmus Med Ctr, Dept Publ Hlth, NL-999025 Rotterdam, Netherlands

来源：

BMC INFECTIOUS DISEASES | 2017年 / 17卷

关键词：

ORIENTIA-TSUTSUGAMUSHI; METEOROLOGICAL FACTORS; MAINLAND CHINA; TROMBICULIDAE; INFECTION; OUTBREAK; TAIWAN; FOREST; ACARI; RISK;

D O I：

10.1186/s12879-016-2153-3

中图分类号：

R51 [传染病];

学科分类号：

100401 ;

摘要：

Background: In the last decade, scrub typhus (ST) has been emerging or re-emerging in some areas of Asia, including Guangzhou, one of the most affected endemic areas of ST in China. Methods: Based on the data on all cases reported in Guangzhou from 2006 to 2014, we characterized the epidemiological features, and identified environmental determinants for the spatial distribution of ST using a panel negative binomial model. Results: A total of 4821 scrub typhus cases were reported in Guangzhou during 2006-2014. The annual incidence increased noticeably and the increase was relatively high and rapid in rural townships and among elderly females. The majority of cases (86.8%) occurred during May. October, and farmers constituted the majority of the cases, accounting for 33.9% in urban and 61.6% in rural areas. The number of housekeeper patients had a rapid increment in both rural and urban areas during the study period. Atmospheric pressure and relative humidity with lags of 1 or 2 months, distributions of broadleaved forest and rural township were identified as determinants for the spatiotemporal distribution of scrub typhus. Conclusion: Our results indicate that surveillance and public education need to be focused on the elderly farmers in rural areas covered with broadleaf forest in southern China.

引用

页数：8

共 25 条

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