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Spatiotemporal Transmission Dynamics of Hemorrhagic Fever with Renal Syndrome in China,2005–2012
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نویسنده
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zhang w.-y. ,wang l.-y. ,liu y.-x. ,yin w.-w. ,hu w.-b. ,magalhaes r.j.s. ,ding f. ,sun h.-l. ,zhou h. ,li s.-l. ,haque u. ,tong s.-l. ,glass g.e. ,bi p. ,clements a.c.a. ,liu q.-y. ,li c.-y.
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منبع
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plos neglected tropical diseases - 2014 - دوره : 8 - شماره : 11
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چکیده
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This study identified significant space-time clusters of hfrs in china during 2005–2012 indicating that preventative strategies for hfrs should be particularly focused on the northeastern,central,and eastern of china to achieve the most cost-effective outcomes.hemorrhagic fever with renal syndrome (hfrs) is a rodent-borne disease caused by many serotypes of hantaviruses. in china,hfrs has been recognized as a severe public health problem with 90% of the total reported cases in the world. this study describes the spatiotemporal dynamics of hfrs cases in china and identifies the regions,time,and populations at highest risk,which could help the planning and implementation of key preventative measures.data on all reported hfrs cases at the county level from january 2005 to december 2012 were collected from chinese center for disease control and prevention. geographic information system-based spatiotemporal analyses including local indicators of spatial association and kulldorff's space-time scan statistic were performed to detect local high-risk space-time clusters of hfrs in china. in addition,cases from high-risk and low-risk counties were compared to identify significant demographic differences.a total of 100,868 cases were reported during 2005–2012 in mainland china. there were significant variations in the spatiotemporal dynamics of hfrs. hfrs cases occurred most frequently in june,november,and december. there was a significant positive spatial autocorrelation of hfrs incidence during the study periods,with moran's i values ranging from 0.46 to 0.56 (p<0.05). several distinct hfrs cluster areas were identified,mainly concentrated in northeastern,central,and eastern of china. compared with cases from low-risk areas,a higher proportion of cases were younger,non-farmer,and floating residents in high-risk counties. © 2014 zhang et al.
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آدرس
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institute of disease control and prevention,academy of military medical science,beijing, China, institute of disease control and prevention,academy of military medical science,beijing, China, department of infection management and disease control,chinese pla general hospital,beijing, China, chinese center for disease control and prevention,beijing, China, school of public health and social work,queensland university of technology,brisbane, Australia, school of veterinary science,the university of queensland,brisbane,australia,who collaborating centre for children environmental health,queensland children’s medical research institute,university of queensland,brisbane, Australia, chinese center for disease control and prevention,beijing, China, institute of disease control and prevention,academy of military medical science,beijing, China, chinese center for disease control and prevention,beijing, China, institute of disease control and prevention,academy of military medical science,beijing, China, emerging pathogens institute,university of florida,gainesville,fl,united states,department of geography,university of florida,gainesville,fl, United States, school of public health and social work,queensland university of technology,brisbane, Australia, emerging pathogens institute,university of florida,gainesville,fl,united states,department of geography,university of florida,gainesville,fl, United States, discipline of public health,university of adelaide,adelaide, Australia, research school of population health,the australian national university,canberran capital territory, Australia, state key laboratory for infectious disease prevention and control,national institute for communicable disease control and prevention,chinese center for disease control and prevention,beijing, China, institute of disease control and prevention,academy of military medical science,beijing, China
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Authors
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