Epidemiologic Changes of Scrub Typhus in China, 1952–2016

Details

• Alternative Title:
  Emerg Infect Dis
• Personal Author:
  Li, Zhongjie ; Xin, Hualei ; Sun, Junling ; Lai, Shengjie ; Zeng, Lingjia ; Zheng, Canjun ; Ray, Sarah E. ; Weaver, Nicole Davis ; Wang, Liping ; Yu, Jianxing ; Feng, Zijian ; Hay, Simon I. ; Gao, George F.
• Description:
  Scrub typhus, a miteborne rickettsiosis, has emerged in many areas globally. We analyzed the incidence and spatial-temporal distribution of scrub typhus in China during 1952-1989 and 2006-2016 using national disease surveillance data. A total of 133,623 cases and 174 deaths were recorded. The average annual incidence was 0.13 cases/100,000 population during 1952-1989; incidence increased sharply from 0.09/100,000 population in 2006 to 1.60/100,000 population in 2016. The disease, historically endemic to southern China, has expanded to all the provinces across both rural and urban areas. We identified 3 distinct seasonal patterns nationwide; infections peaked in summer in the southwest, summer-autumn in the southeast, and autumn in the middle-east. Persons >40 years of age and in nonfarming occupations had a higher risk for death. The changing epidemiology of scrub typhus in China warrants an enhanced disease control and prevention program.
• Subjects:
  Humans Incidence Orientia Tsutsugamushi Scrub Typhus Seasons
• Source:
  Emerg Infect Dis. 26(6):1091-1101
• Pubmed ID:
  32441637
• Pubmed Central ID:
  PMC7258452
• Document Type:
  Journal Article
• Place as Subject:
  China ; Middle East
• Location:
  Asia ; Middle East
• Volume:
  26
• Issue:
  6
• Collection(s):
  Emerging Infectious Diseases
• Main Document Checksum:
  urn:sha256:169fe7ac2ce397e86517e4ff74216110ffe845aed7a87ca99566afe5439a4555
• Download URL:
  https://stacks.cdc.gov/view/cdc/88878/cdc_88878_DS1.pdf
• File Type:
  [PDF - 3.53 MB ]