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Spatiotemporal Dynamics of Scrub Typhus Transmission in Mainland China,2006-2014
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نویسنده
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wu y.-c. ,qian q. ,soares magalhaes r.j. ,han z.-h. ,hu w.-b. ,haque u. ,weppelmann t.a. ,wang y. ,liu y.-x. ,li x.-l. ,sun h.-l. ,sun y.-s. ,clements a.c.a. ,li s.-l. ,zhang w.-y.
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منبع
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plos neglected tropical diseases - 2016 - دوره : 10 - شماره : 8
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چکیده
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Background: scrub typhus is endemic in the asia-pacific region including china,and the number of reported cases has increased dramatically in the past decade. however,the spatial-temporal dynamics and the potential risk factors in transmission of scrub typhus in mainland china have yet to be characterized. objective: this study aims to explore the spatiotemporal dynamics of reported scrub typhus cases in mainland china between january 2006 and december 2014,to detect the location of high risk spatiotemporal clusters of scrub typhus cases,and identify the potential risk factors affecting the re-emergence of the disease. method: monthly cases of scrub typhus reported at the county level between 2006 and 2014 were obtained from the chinese center for diseases control and prevention. time-series analyses,spatiotemporal cluster analyses,and spatial scan statistics were used to explore the characteristics of the scrub typhus incidence. to explore the association between scrub typhus incidence and environmental variables panel poisson regression analysis was conducted. results: during the time period between 2006 and 2014 a total of 54,558 scrub typhus cases were reported in mainland china,which grew exponentially. the majority of cases were reported each year between july and november,with peak incidence during october every year. the spatiotemporal dynamics of scrub typhus varied over the study period with high-risk clusters identified in southwest,southern,and middle-eastern part of china. scrub typhus incidence was positively correlated with the percentage of shrub and meteorological variables including temperature and precipitation. conclusions: the results of this study demonstrate areas in china that could be targeted with public health interventions to mitigate the growing threat of scrub typhus in the country. © 2016 wu 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, spatial epidemiology laboratory,school of veterinary science,the university of queensland,brisbane,australia,child health research center,the university of queensland,brisbane, Australia, navy general hospital of pla,beijing, China, 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, emerging pathogens institute,university of florida,gainesville,fl,united states,department of environmental and global health,college of public health and health professions,university of florida,gainesville,fl, United States, institute of disease control and prevention,academy of military medical science,beijing, China, chinese people’s liberation army general hospital,beijing, China, 517 military hospital,kelan,shanxi, China, institute of disease control and prevention,academy of military medical science,beijing, China, academy of military medical science,beijing, China, research school of population health,the australian national university,canberra,act, Australia, 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
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Authors
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