Rapid increase in scrub typhus incidence in Mainland China, 2006-2014

Wu, Yi-Cheng, Qian, Quan, Soares Magalhaes, Ricardo J., Han, Zhi-Hai, Haque, Ubydul, Weppelmann, Thomas A., Hu, Wen-Biao, Liu, Yun-Xi, Sun, Yan-Song, Zhang, Wen-Yi and Li, Shen-Long (2016) Rapid increase in scrub typhus incidence in Mainland China, 2006-2014. American Journal of Tropical Medicine and Hygiene, 94 3: 532-536. doi:10.4269/ajtmh.15-0663

Author Wu, Yi-Cheng
Qian, Quan
Soares Magalhaes, Ricardo J.
Han, Zhi-Hai
Haque, Ubydul
Weppelmann, Thomas A.
Hu, Wen-Biao
Liu, Yun-Xi
Sun, Yan-Song
Zhang, Wen-Yi
Li, Shen-Long
Title Rapid increase in scrub typhus incidence in Mainland China, 2006-2014
Journal name American Journal of Tropical Medicine and Hygiene   Check publisher's open access policy
ISSN 0002-9637
Publication date 2016-03-01
Year available 2015
Sub-type Article (original research)
DOI 10.4269/ajtmh.15-0663
Open Access Status Not Open Access
Volume 94
Issue 3
Start page 532
End page 536
Total pages 5
Place of publication Deerfield, IL, United States
Publisher American Society of Tropical Medicine and Hygiene
Collection year 2016
Language eng
Abstract Scrub typhus is a vector-borne disease, which has recently reemerged in China. In this study, we describe the distribution and incidence of scrub typhus cases in China from 2006 to 2014 and quantify differences in scrub typhus cases with respect to sex, age, and occupation. The results of our study indicate that the annual incidence of scrub typhus has increased during the study period. The number of cases peaked in 2014, which was 12.8 times greater than the number of cases reported in 2006. Most (77.97%) of the cases were reported in five provinces (Guangdong, Yunnan, Anhui, Fujian, and Shandong). Our study also demonstrates that the incidence rate of scrub typhus was significantly higher in females compared to males (P < 0.001) and was highest in the 60-69 year age group, and that farmers had a higher incidence rate than nonfarmers (P < 0.001). Different seasonal trends were identified in the number of reported cases between the northern and southern provinces of China. These findings not only demonstrate that China has experienced a large increase in scrub typhus incidence, but also document an expansion in the geographic distribution throughout the country.
Keyword Scrub typhus
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status UQ

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