Visceral leishmaniasis in northwest China from 2004 to 2018: a spatio-temporal analysis

Abstract Background Although visceral leishmaniasis (VL), a disease caused by parasites, is controlled in most provinces in China, it is still a serious public health problem and remains fundamentally uncontrolled in some northwest provinces and autonomous regions. The objective of this study is to...

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Main Authors: Canjun Zheng, Liping Wang, Yi Li, Xiao-Nong Zhou
Format: Article
Language:English
Published: BMC 2020-12-01
Series:Infectious Diseases of Poverty
Subjects:
Online Access:https://doi.org/10.1186/s40249-020-00782-4
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author Canjun Zheng
Liping Wang
Yi Li
Xiao-Nong Zhou
author_facet Canjun Zheng
Liping Wang
Yi Li
Xiao-Nong Zhou
author_sort Canjun Zheng
collection DOAJ
description Abstract Background Although visceral leishmaniasis (VL), a disease caused by parasites, is controlled in most provinces in China, it is still a serious public health problem and remains fundamentally uncontrolled in some northwest provinces and autonomous regions. The objective of this study is to explore the spatial and temporal characteristics of VL in Sichuan Province, Gansu Province and Xinjiang Uygur Autonomous Region in China from 2004 to 2018 and to identify the risk areas for VL transmission. Methods Spatiotemporal models were applied to explore the spatio-temporal distribution characteristics of VL and the association between VL and meteorological factors in western China from 2004 to 2018. Geographic information of patients from the National Diseases Reporting Information System operated by the Chinese Center for Disease Control and Prevention was defined according to the address code from the surveillance data. Results During our study period, nearly 90% of cases occurred in some counties in three western regions (Sichuan Province, Gansu Province and Xinjiang Uygur Autonomous Region), and a significant spatial clustering pattern was observed. With our spatiotemporal model, the transmission risk, autoregressive risk and epidemic risk of these counties during our study period were also well predicted. The number of VL cases in three regions of western China concentrated on a few of counties. VL in Kashi Prefecture, Xinjiang Uygur Autonomous Region is still serious prevalent, and integrated control measures must be taken in different endemic areas. Conclusions The number of VL cases in three regions of western China concentrated on a few of counties. VL in Kashi Prefecture, Xinjiang Uygur Autonomous Region is still serious prevalent, and integrated control measures must be taken in different endemic areas. Our findings will strengthen the VL control programme in China.
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spelling doaj.art-6fedc7fa06e64fa0934b2e3fc92275852022-12-21T23:34:56ZengBMCInfectious Diseases of Poverty2049-99572020-12-019111310.1186/s40249-020-00782-4Visceral leishmaniasis in northwest China from 2004 to 2018: a spatio-temporal analysisCanjun Zheng0Liping Wang1Yi Li2Xiao-Nong Zhou3Chinese Center for Diseases Control and Prevention (China CDC)Chinese Center for Diseases Control and Prevention (China CDC)State Key Laboratory of Severe Weather & Key Laboratory of Atmospheric Chemistry of CMA, Chinese Academy of Meteorological SciencesChinese Center for Diseases Control and Prevention, National Institute of Parasitic DiseasesAbstract Background Although visceral leishmaniasis (VL), a disease caused by parasites, is controlled in most provinces in China, it is still a serious public health problem and remains fundamentally uncontrolled in some northwest provinces and autonomous regions. The objective of this study is to explore the spatial and temporal characteristics of VL in Sichuan Province, Gansu Province and Xinjiang Uygur Autonomous Region in China from 2004 to 2018 and to identify the risk areas for VL transmission. Methods Spatiotemporal models were applied to explore the spatio-temporal distribution characteristics of VL and the association between VL and meteorological factors in western China from 2004 to 2018. Geographic information of patients from the National Diseases Reporting Information System operated by the Chinese Center for Disease Control and Prevention was defined according to the address code from the surveillance data. Results During our study period, nearly 90% of cases occurred in some counties in three western regions (Sichuan Province, Gansu Province and Xinjiang Uygur Autonomous Region), and a significant spatial clustering pattern was observed. With our spatiotemporal model, the transmission risk, autoregressive risk and epidemic risk of these counties during our study period were also well predicted. The number of VL cases in three regions of western China concentrated on a few of counties. VL in Kashi Prefecture, Xinjiang Uygur Autonomous Region is still serious prevalent, and integrated control measures must be taken in different endemic areas. Conclusions The number of VL cases in three regions of western China concentrated on a few of counties. VL in Kashi Prefecture, Xinjiang Uygur Autonomous Region is still serious prevalent, and integrated control measures must be taken in different endemic areas. Our findings will strengthen the VL control programme in China.https://doi.org/10.1186/s40249-020-00782-4Visceral leishmaniasisSpatio-temporal analysisSpatial regressionChina
spellingShingle Canjun Zheng
Liping Wang
Yi Li
Xiao-Nong Zhou
Visceral leishmaniasis in northwest China from 2004 to 2018: a spatio-temporal analysis
Infectious Diseases of Poverty
Visceral leishmaniasis
Spatio-temporal analysis
Spatial regression
China
title Visceral leishmaniasis in northwest China from 2004 to 2018: a spatio-temporal analysis
title_full Visceral leishmaniasis in northwest China from 2004 to 2018: a spatio-temporal analysis
title_fullStr Visceral leishmaniasis in northwest China from 2004 to 2018: a spatio-temporal analysis
title_full_unstemmed Visceral leishmaniasis in northwest China from 2004 to 2018: a spatio-temporal analysis
title_short Visceral leishmaniasis in northwest China from 2004 to 2018: a spatio-temporal analysis
title_sort visceral leishmaniasis in northwest china from 2004 to 2018 a spatio temporal analysis
topic Visceral leishmaniasis
Spatio-temporal analysis
Spatial regression
China
url https://doi.org/10.1186/s40249-020-00782-4
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AT lipingwang visceralleishmaniasisinnorthwestchinafrom2004to2018aspatiotemporalanalysis
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AT xiaonongzhou visceralleishmaniasisinnorthwestchinafrom2004to2018aspatiotemporalanalysis