Tuberculosis burden caused by migrant population in Eastern China: evidence from notification records in Zhejiang Province during 2013–2017
Abstract Background Internal migrants have an enormous impact on tuberculosis (TB) epidemic in China. Zhejiang Province, as one of the developed areas, also had a heavy burden caused by TB. Methods In this study, we collected all cases in Zhejiang Province through the TB Management Information Syste...
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| Format: | Article |
| Language: | English |
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BMC
2022-01-01
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| Series: | BMC Infectious Diseases |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12879-022-07071-5 |
| _version_ | 1818085159083180032 |
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| author | Kui Liu Songhua Chen Yu Zhang Tao Li Bo Xie Wei Wang Fei Wang Ying Peng Liyun Ai Bin Chen Xiaomeng Wang Jianmin Jiang |
| author_facet | Kui Liu Songhua Chen Yu Zhang Tao Li Bo Xie Wei Wang Fei Wang Ying Peng Liyun Ai Bin Chen Xiaomeng Wang Jianmin Jiang |
| author_sort | Kui Liu |
| collection | DOAJ |
| description | Abstract Background Internal migrants have an enormous impact on tuberculosis (TB) epidemic in China. Zhejiang Province, as one of the developed areas, also had a heavy burden caused by TB. Methods In this study, we collected all cases in Zhejiang Province through the TB Management Information System from 2013 to 2017. Description analysis and Spatio-temporal analysis using R software and ArcGIS were performed to identify the epidemiological characteristics and clusterings, respectively. Results 48,756 individuals in total were notified with TB among the migrant population (TBMP), accounting for one-third of all cases identified. The primary sources of TB from migrants outside the province were from Guizhou, Sichuan, and Anhui. Wenzhou, Taizhou, and Lishui were the three mainly outflowing cities among the intra-provincial TBMP and Hangzhou as the primarily inflowing city. Also, results implied that the inconsistency of the TBMP in spatial analysis and the border area of Quzhou and Lishui city had the highest risk of TB occurrence among the migrants. Additionally, one most likely cluster and four secondary clusters were identified by the spatial–temporal analysis. Conclusion The effective control of TB in extra-provincial MP was critical to lowering the TB burden of MP in Zhejiang Province. Also, it is suggested that active TB screening for migrant employees outflowed from high epidemic regions should be strengthened, and further traceability analysis needs to be investigated to clarify the mechanism of TB transmission in clustered areas. |
| first_indexed | 2024-12-10T20:05:21Z |
| format | Article |
| id | doaj.art-c0cb3cdab6f4418b8db33ad5757e4bd6 |
| institution | Directory Open Access Journal |
| issn | 1471-2334 |
| language | English |
| last_indexed | 2024-12-10T20:05:21Z |
| publishDate | 2022-01-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Infectious Diseases |
| spelling | doaj.art-c0cb3cdab6f4418b8db33ad5757e4bd62022-12-22T01:35:24ZengBMCBMC Infectious Diseases1471-23342022-01-0122111110.1186/s12879-022-07071-5Tuberculosis burden caused by migrant population in Eastern China: evidence from notification records in Zhejiang Province during 2013–2017Kui Liu0Songhua Chen1Yu Zhang2Tao Li3Bo Xie4Wei Wang5Fei Wang6Ying Peng7Liyun Ai8Bin Chen9Xiaomeng Wang10Jianmin Jiang11Department of Tuberculosis Control and Prevention, Zhejiang Provincial Center for Disease Control and PreventionDepartment of Tuberculosis Control and Prevention, Zhejiang Provincial Center for Disease Control and PreventionDepartment of Tuberculosis Control and Prevention, Zhejiang Provincial Center for Disease Control and PreventionNational Center for Tuberculosis Control and Prevention, China CDCSchool of Urban Design, Wuhan UniversityDepartment of Tuberculosis Control and Prevention, Zhejiang Provincial Center for Disease Control and PreventionDepartment of Tuberculosis Control and Prevention, Zhejiang Provincial Center for Disease Control and PreventionDepartment of Tuberculosis Control and Prevention, Zhejiang Provincial Center for Disease Control and PreventionHangzhou Center for Disease Control and PreventionDepartment of Tuberculosis Control and Prevention, Zhejiang Provincial Center for Disease Control and PreventionDepartment of Tuberculosis Control and Prevention, Zhejiang Provincial Center for Disease Control and PreventionDepartment of Tuberculosis Control and Prevention, Zhejiang Provincial Center for Disease Control and PreventionAbstract Background Internal migrants have an enormous impact on tuberculosis (TB) epidemic in China. Zhejiang Province, as one of the developed areas, also had a heavy burden caused by TB. Methods In this study, we collected all cases in Zhejiang Province through the TB Management Information System from 2013 to 2017. Description analysis and Spatio-temporal analysis using R software and ArcGIS were performed to identify the epidemiological characteristics and clusterings, respectively. Results 48,756 individuals in total were notified with TB among the migrant population (TBMP), accounting for one-third of all cases identified. The primary sources of TB from migrants outside the province were from Guizhou, Sichuan, and Anhui. Wenzhou, Taizhou, and Lishui were the three mainly outflowing cities among the intra-provincial TBMP and Hangzhou as the primarily inflowing city. Also, results implied that the inconsistency of the TBMP in spatial analysis and the border area of Quzhou and Lishui city had the highest risk of TB occurrence among the migrants. Additionally, one most likely cluster and four secondary clusters were identified by the spatial–temporal analysis. Conclusion The effective control of TB in extra-provincial MP was critical to lowering the TB burden of MP in Zhejiang Province. Also, it is suggested that active TB screening for migrant employees outflowed from high epidemic regions should be strengthened, and further traceability analysis needs to be investigated to clarify the mechanism of TB transmission in clustered areas.https://doi.org/10.1186/s12879-022-07071-5TuberculosisMigrant populationSpatial–temporal analysisClustering |
| spellingShingle | Kui Liu Songhua Chen Yu Zhang Tao Li Bo Xie Wei Wang Fei Wang Ying Peng Liyun Ai Bin Chen Xiaomeng Wang Jianmin Jiang Tuberculosis burden caused by migrant population in Eastern China: evidence from notification records in Zhejiang Province during 2013–2017 BMC Infectious Diseases Tuberculosis Migrant population Spatial–temporal analysis Clustering |
| title | Tuberculosis burden caused by migrant population in Eastern China: evidence from notification records in Zhejiang Province during 2013–2017 |
| title_full | Tuberculosis burden caused by migrant population in Eastern China: evidence from notification records in Zhejiang Province during 2013–2017 |
| title_fullStr | Tuberculosis burden caused by migrant population in Eastern China: evidence from notification records in Zhejiang Province during 2013–2017 |
| title_full_unstemmed | Tuberculosis burden caused by migrant population in Eastern China: evidence from notification records in Zhejiang Province during 2013–2017 |
| title_short | Tuberculosis burden caused by migrant population in Eastern China: evidence from notification records in Zhejiang Province during 2013–2017 |
| title_sort | tuberculosis burden caused by migrant population in eastern china evidence from notification records in zhejiang province during 2013 2017 |
| topic | Tuberculosis Migrant population Spatial–temporal analysis Clustering |
| url | https://doi.org/10.1186/s12879-022-07071-5 |
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