Seasonality of active tuberculosis notification from 2005 to 2014 in Xinjiang, China.

Xinjiang is one of the highest TB-burdened provinces of China. A time-series analysis was conducted to evaluate the trend, seasonality of active TB in Xinjiang, and explore the underlying mechanism of TB seasonality by comparing the seasonal variations of different subgroups.Monthly active TB cases...

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Main Authors: Atikaimu Wubuli, Yuehua Li, Feng Xue, Xuemei Yao, Halmurat Upur, Qimanguli Wushouer
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2017-01-01
Series:PLoS ONE
Online Access:http://europepmc.org/articles/PMC5497978?pdf=render
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author Atikaimu Wubuli
Yuehua Li
Feng Xue
Xuemei Yao
Halmurat Upur
Qimanguli Wushouer
author_facet Atikaimu Wubuli
Yuehua Li
Feng Xue
Xuemei Yao
Halmurat Upur
Qimanguli Wushouer
author_sort Atikaimu Wubuli
collection DOAJ
description Xinjiang is one of the highest TB-burdened provinces of China. A time-series analysis was conducted to evaluate the trend, seasonality of active TB in Xinjiang, and explore the underlying mechanism of TB seasonality by comparing the seasonal variations of different subgroups.Monthly active TB cases from 2005 to 2014 in Xinjiang were analyzed by the X-12-ARIMA seasonal adjustment program. Seasonal amplitude (SA) was calculated and compared within the subgroups.A total of 277,300 confirmed active TB cases were notified from 2005 to 2014 in Xinjiang, China, with a monthly average of 2311±577. The seasonality of active TB notification was peaked in March and troughed in October, with a decreasing SA trend. The annual 77.31% SA indicated an annual mean of additional TB cases diagnosed in March as compared to October. The 0-14-year-old group had significantly higher SA than 15-44-year-old group (P<0.05). Students had the highest SA, followed by herder and migrant workers (P<0.05). The pleural TB cases had significantly higher SA than the pulmonary cases (P <0.05). Significant associations were not observed between SA and sex, ethnic group, regions, the result of sputum smear microcopy, and treatment history (P>0.05).TB notification in Xinjiang shows an apparent seasonal variation with a peak in March and trough in October. For the underlying mechanism of TB seasonality, our results hypothesize that winter indoor crowding increases the risk of TB transmission, and seasonality was mainly influenced by the recent exogenous infection rather than the endogenous reactivation.
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spelling doaj.art-87c869b0fc8e4e579d26e15528705c4a2022-12-22T03:58:47ZengPublic Library of Science (PLoS)PLoS ONE1932-62032017-01-01127e018022610.1371/journal.pone.0180226Seasonality of active tuberculosis notification from 2005 to 2014 in Xinjiang, China.Atikaimu WubuliYuehua LiFeng XueXuemei YaoHalmurat UpurQimanguli WushouerXinjiang is one of the highest TB-burdened provinces of China. A time-series analysis was conducted to evaluate the trend, seasonality of active TB in Xinjiang, and explore the underlying mechanism of TB seasonality by comparing the seasonal variations of different subgroups.Monthly active TB cases from 2005 to 2014 in Xinjiang were analyzed by the X-12-ARIMA seasonal adjustment program. Seasonal amplitude (SA) was calculated and compared within the subgroups.A total of 277,300 confirmed active TB cases were notified from 2005 to 2014 in Xinjiang, China, with a monthly average of 2311±577. The seasonality of active TB notification was peaked in March and troughed in October, with a decreasing SA trend. The annual 77.31% SA indicated an annual mean of additional TB cases diagnosed in March as compared to October. The 0-14-year-old group had significantly higher SA than 15-44-year-old group (P<0.05). Students had the highest SA, followed by herder and migrant workers (P<0.05). The pleural TB cases had significantly higher SA than the pulmonary cases (P <0.05). Significant associations were not observed between SA and sex, ethnic group, regions, the result of sputum smear microcopy, and treatment history (P>0.05).TB notification in Xinjiang shows an apparent seasonal variation with a peak in March and trough in October. For the underlying mechanism of TB seasonality, our results hypothesize that winter indoor crowding increases the risk of TB transmission, and seasonality was mainly influenced by the recent exogenous infection rather than the endogenous reactivation.http://europepmc.org/articles/PMC5497978?pdf=render
spellingShingle Atikaimu Wubuli
Yuehua Li
Feng Xue
Xuemei Yao
Halmurat Upur
Qimanguli Wushouer
Seasonality of active tuberculosis notification from 2005 to 2014 in Xinjiang, China.
PLoS ONE
title Seasonality of active tuberculosis notification from 2005 to 2014 in Xinjiang, China.
title_full Seasonality of active tuberculosis notification from 2005 to 2014 in Xinjiang, China.
title_fullStr Seasonality of active tuberculosis notification from 2005 to 2014 in Xinjiang, China.
title_full_unstemmed Seasonality of active tuberculosis notification from 2005 to 2014 in Xinjiang, China.
title_short Seasonality of active tuberculosis notification from 2005 to 2014 in Xinjiang, China.
title_sort seasonality of active tuberculosis notification from 2005 to 2014 in xinjiang china
url http://europepmc.org/articles/PMC5497978?pdf=render
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AT xuemeiyao seasonalityofactivetuberculosisnotificationfrom2005to2014inxinjiangchina
AT halmuratupur seasonalityofactivetuberculosisnotificationfrom2005to2014inxinjiangchina
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