Hemorrhagic fever with renal syndrome in China: Mechanisms on two distinct annual peaks and control measures

Hemorrhagic fever with renal syndrome (HFRS) is a rodent-borne disease caused by several serotypes of hantavirus and 90% of all reported HFRS cases occur in China. However, the dynamics of such outbreak, particularly the characteristics of two distinct annual peaks in China, are not well understood. Here, we investigate several of the biologically plausible causes for the peaks in monthly HFRS cases, and find that the key factor is the interplay between periodic transmission rates and rodent periodic birth rate. Analysis of dynamical model reveals that vaccination plays a significant role in the control of HFRS in China. Sensitive analysis of different interventions demonstrates that integrating rodent culling and environmental management with the current vaccination program is effective for HFRS control. Our results suggest that for diseases from animals to human beings, the features of both animals and humans beings should be taken into account in the control and prevention strategies.