Analysis of spatial-temporal distribution characteristics and natural infection status of SFTS cases in Hefei from 2015 to 2021

Background: To analyze the prevalence and spatial-temporal characteristics of severe fever with thrombocytopenia syndrome (SFTS), clustering mode of transmission, and the serological dynamic detection results in multiple areas in Hefei from 2015 to 2021, and to provide the basis for SFTS prevention...

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Main Authors: Qi Zhang, Wenwen Liu, Wenjing Wang, Linlin Zhang, Juan Li, Renshu Tang, Jing Jin, Wei Chen, Lei Zhang
Format: Article
Language:English
Published: Komiyama Printing Co. Ltd 2023-11-01
Series:Environmental Health and Preventive Medicine
Subjects:
Online Access:https://www.jstage.jst.go.jp/article/ehpm/28/0/28_23-00149/_html/-char/en
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author Qi Zhang
Wenwen Liu
Wenjing Wang
Linlin Zhang
Juan Li
Renshu Tang
Jing Jin
Wei Chen
Lei Zhang
author_facet Qi Zhang
Wenwen Liu
Wenjing Wang
Linlin Zhang
Juan Li
Renshu Tang
Jing Jin
Wei Chen
Lei Zhang
author_sort Qi Zhang
collection DOAJ
description Background: To analyze the prevalence and spatial-temporal characteristics of severe fever with thrombocytopenia syndrome (SFTS), clustering mode of transmission, and the serological dynamic detection results in multiple areas in Hefei from 2015 to 2021, and to provide the basis for SFTS prevention and control. Method: Case data were obtained from the Chinese Disease Control and Prevention Information System. Information on the clustering outbreak was obtained from the outbreak investigation and disposal report. Population latent infection rate information was obtained from field sampling in multiple-incidence counties in 2016 and 2021 by multi-stage random sampling. Epi data3.2 and SPSS 16.0 softwares were used to perform a statistical analysis of the data on SFTS cases, and QGIS 3.26 software was used to draw the incidence map with township (street) as unit. Results: The an average annual reported incidence rate of SFTS in Hefei from 2015 to 2021 was 0.65/100,000, and the case fatality rate was 9.73%. The overall prevalence of SFTS epidemics in Hefei City showed a fluctuating upward trend from 2015 to 2021 (χ2trends = 103.353, P < 0.001). Chaohu City, Feixi County, Feidong County and Lujiang County ranked the top 4 in the city in terms of average annual incidence rate. The number of epidemic-involved towns (streets) kept increasing ((χ2trend = 47.640, P = 0.000)). Co-exposure to ticks accounted for the majority of clustered outbreaks and also human-to-human outbreaks. Population-based latent infection rate surveys were conducted in four SFTS multi-incidence counties, with 385 people surveyed in 2016 and 403 people surveyed in 2021, increasing the population-based latent infection rate from 6.75% to 10.91%, just as the incidence rate increased. Conclusions: The incidence rate of SFTS in Hefei is obviously regional, with an expanding trend in the extent of the epidemic involved. Co-exposure to ticks accounted for the majority of clustered outbreaks and the latent infection rate cannot be ignored.
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spelling doaj.art-d76a36ff2a8740c08553ca8be7d92da52023-11-30T06:07:57ZengKomiyama Printing Co. LtdEnvironmental Health and Preventive Medicine1342-078X1347-47152023-11-0128707010.1265/ehpm.23-00149ehpmAnalysis of spatial-temporal distribution characteristics and natural infection status of SFTS cases in Hefei from 2015 to 2021Qi Zhang0Wenwen Liu1Wenjing Wang2Linlin Zhang3Juan Li4Renshu Tang5Jing Jin6Wei Chen7Lei Zhang8Hefei Center for Disease Control and PreventionHefei Center for Disease Control and PreventionHefei Center for Disease Control and PreventionHefei Center for Disease Control and PreventionHefei Center for Disease Control and PreventionHefei Center for Disease Control and PreventionHefei Center for Disease Control and PreventionHefei Center for Disease Control and PreventionHefei Center for Disease Control and PreventionBackground: To analyze the prevalence and spatial-temporal characteristics of severe fever with thrombocytopenia syndrome (SFTS), clustering mode of transmission, and the serological dynamic detection results in multiple areas in Hefei from 2015 to 2021, and to provide the basis for SFTS prevention and control. Method: Case data were obtained from the Chinese Disease Control and Prevention Information System. Information on the clustering outbreak was obtained from the outbreak investigation and disposal report. Population latent infection rate information was obtained from field sampling in multiple-incidence counties in 2016 and 2021 by multi-stage random sampling. Epi data3.2 and SPSS 16.0 softwares were used to perform a statistical analysis of the data on SFTS cases, and QGIS 3.26 software was used to draw the incidence map with township (street) as unit. Results: The an average annual reported incidence rate of SFTS in Hefei from 2015 to 2021 was 0.65/100,000, and the case fatality rate was 9.73%. The overall prevalence of SFTS epidemics in Hefei City showed a fluctuating upward trend from 2015 to 2021 (χ2trends = 103.353, P < 0.001). Chaohu City, Feixi County, Feidong County and Lujiang County ranked the top 4 in the city in terms of average annual incidence rate. The number of epidemic-involved towns (streets) kept increasing ((χ2trend = 47.640, P = 0.000)). Co-exposure to ticks accounted for the majority of clustered outbreaks and also human-to-human outbreaks. Population-based latent infection rate surveys were conducted in four SFTS multi-incidence counties, with 385 people surveyed in 2016 and 403 people surveyed in 2021, increasing the population-based latent infection rate from 6.75% to 10.91%, just as the incidence rate increased. Conclusions: The incidence rate of SFTS in Hefei is obviously regional, with an expanding trend in the extent of the epidemic involved. Co-exposure to ticks accounted for the majority of clustered outbreaks and the latent infection rate cannot be ignored.https://www.jstage.jst.go.jp/article/ehpm/28/0/28_23-00149/_html/-char/ensftsinfection statusspatial-temporal distribution
spellingShingle Qi Zhang
Wenwen Liu
Wenjing Wang
Linlin Zhang
Juan Li
Renshu Tang
Jing Jin
Wei Chen
Lei Zhang
Analysis of spatial-temporal distribution characteristics and natural infection status of SFTS cases in Hefei from 2015 to 2021
Environmental Health and Preventive Medicine
sfts
infection status
spatial-temporal distribution
title Analysis of spatial-temporal distribution characteristics and natural infection status of SFTS cases in Hefei from 2015 to 2021
title_full Analysis of spatial-temporal distribution characteristics and natural infection status of SFTS cases in Hefei from 2015 to 2021
title_fullStr Analysis of spatial-temporal distribution characteristics and natural infection status of SFTS cases in Hefei from 2015 to 2021
title_full_unstemmed Analysis of spatial-temporal distribution characteristics and natural infection status of SFTS cases in Hefei from 2015 to 2021
title_short Analysis of spatial-temporal distribution characteristics and natural infection status of SFTS cases in Hefei from 2015 to 2021
title_sort analysis of spatial temporal distribution characteristics and natural infection status of sfts cases in hefei from 2015 to 2021
topic sfts
infection status
spatial-temporal distribution
url https://www.jstage.jst.go.jp/article/ehpm/28/0/28_23-00149/_html/-char/en
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