Mapping the epidemic changes and risks of hemorrhagic fever with renal syndrome in Shaanxi Province, China, 2005–2016
| Autor: | Hong Yan, Hunter R. Merrill, Zhongjun Shao, Kun Liu, Weifeng Liang, Kejian Wu, Miaomiao Pang, Xu Gu, Jianhua Dong, Tao Hu, Xue Li, Kangjun Zhang |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
0301 basic medicine
medicine.medical_specialty China Multivariate analysis 030106 microbiology Attack rate lcsh:Medicine Article 03 medical and health sciences Sex Factors Sex factors Risk Factors Environmental health Occupational Exposure Zoonoses Epidemiology medicine Prevalence Animals Humans Significant risk Author Correction lcsh:Science Retrospective Studies Multidisciplinary Farmers business.industry Zoonosis lcsh:R Age Factors virus diseases medicine.disease Vaccination 030104 developmental biology Hemorrhagic Fever with Renal Syndrome Topography Medical lcsh:Q business |
| Zdroj: | Scientific Reports Scientific Reports, Vol 8, Iss 1, Pp 1-10 (2018) |
| ISSN: | 2045-2322 |
| Popis: | Hemorrhagic fever with renal syndrome (HFRS) is a major rodent-borne zoonosis. Each year worldwide, 60,000–100,000 HFRS human cases are reported in more than seventy countries with almost 90% these cases occurring in China. Shaanxi Province in China has been among the most seriously affected areas since 1955. During 2009–2013, Shaanxi reported 11,400 human cases, the most of all provinces in China. Furthermore, the epidemiological features of HFRS have changed over time. Using long-term data of HFRS from 2005 to 2016, we carried out this retrospective epidemiological study combining ecological assessment models in Shaanxi. We found the majority of HFRS cases were male farmers who acquired infection in Guanzhong Plain, but the geographic extent of the epidemic has slowly spread northward. The highest age-specific attack rate since 2011 was among people aged 60–74 years, and the percentage of HFRS cases among the elderly increased from 12% in 2005 to 25% in 2016. We highly recommend expanding HFRS vaccination to people older than 60 years to better protect against the disease. Multivariate analysis revealed artificial area, cropland, pig and population density, GDP, and climate conditions (relative humidity, precipitation, and wind speed) as significant risk factors in the distribution of HFRS. |
| Databáze: | OpenAIRE |
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