scholarly journals Exploring Epidemiological Characteristics of Domestic Imported Dengue Fever in Mainland China, 2014–2018

Author(s):  
Yujuan Yue ◽  
Qiyong Liu

Epidemiological characteristics of domestic imported dengue fever in mainland China, 2014–2018, including time-series, spatial mobility and crowd features, were analyzed. There existed seasonal characteristics from August to November. The 872 domestic imported cases from 8 provinces, located in the southeastern, southwestern and southern coastal or border areas, were imported to 267 counties in 20 provinces of mainland China, located in the outer areas along the southwest-northeast line. The 628 domestic imported cases were still imported to the adjacent counties in the provinces themselves, 234 domestic imported cases were imported to 12 other provinces except the 8 original exported provinces, 493 cases in 2014 reached the peak, and 816 domestic imported cases were from Guangdong (675) and Yunnan (141). Domestic imported cases from Guangdong were imported to 218 counties, and 475 cases from Guangdong were imported to the adjacent counties in Guangdong itself. There were more male cases than female cases except in 2016. Domestic imported cases were clustered from 21 to 50 years old. The top three cases were from farmer, worker and housework or unemployed. The findings are helpful to formulate targeted, strategic plans and implement effective public health prevention and control measures.

Author(s):  
Yujuan Yue ◽  
Xiaobo Liu ◽  
Dongsheng Ren ◽  
Haixia Wu ◽  
Qiyong Liu

New spatial characteristics of dengue fever in mainland China during 2019 were analyzed. There was a dengue fever outbreak in mainland China in 2019, with 15,187 indigenous cases in 13 provinces, 1281 domestic imported cases from 12 provinces and 5778 overseas imported cases from 47 countries, more than the previous cases during the period 2005–2018, except for in 2014. Indigenous cases occurred in Sichuan, Hubei and Chongqing in 2019. There have been big changes in the spatial distribution and proportion of dengue cases. Indigenous cases were not only located in the southwestern border and southeastern coastal provinces of Yunnan, Guangdong, Guangxi and Fujian but also in the central provinces of Jiangxi and Chongqing. Domestic imported cases were not only from Guangdong, but also from Yunnan. There were five new sources of importation of cases. Overseas imported cases were mainly from Cambodia and Myanmar in 2019. Understanding the new spatial characteristics of dengue fever in China helps to formulate targeted, strategic plans and implement effective public health prevention and control measures.


2019 ◽  
Author(s):  
Yujuan Yue ◽  
Qiyong Liu ◽  
Xiaobo Liu ◽  
Haixia Wu

Abstract Dengue fever occurred most severely in Guangdong and Yunnan, accounting for 93.7% of indigenous cases and 65.9 % of imported cases in mainland China. Epidemiological and spatial-temporal analysis methods were used to compare epidemiological characteristics of dengue cases in Guangdong and Yunnan, China, 2004-2018, including time-series, spatial and crowd features. Much more indigenous cases were widely distributed in Guangdong, while imported cases were more common in Yunnan. 55,970 and 5,938 indigenous cases occurred in 108 counties, Guangdong and 25 counties, Yunnan. 1,146 and 3,050 imported cases occurred in 84 counties, Guangdong and 72 counties, Yunnan. There existed similar seasonal characteristics from July to November for indigenous cases, but there was a longer peak period for imported cases in Guangdong (May to December) than that in Yunnan (July to December). There existed clustering characteristics for dengue fever. 85.1% of indigenous cases in Yunnan were located in Ruili City and Jinghong City along the southwestern border. Most dengue cases in Guangdong occurred in the Pearl River Delta region, especially with more than 70.0% in Guangzhou City. 93.9% of imported cases in Guangdong and Yunna were from 9 countries of Southeast Asia. Thailand, Cambodia and Malaysia were the main imported origins in Guangdong. Myanmar and Laos were the main imported origins in Yunnan. There was a strong male predominance among imported cases and an almost equal gender distribution for indigenous cases. Most dengue cases were from individuals in 21-50 years old, with 57.3% and 62.8% for indigenous cases and 83.2% and 62.6% for imported cases in Guangdong and Yunnan, respectively. There existed differences in main occupation compositions of dengue cases. However, there were similar major occupations as housework or unemployment, retiree and businessman for indigenous cases, and similar major occupation as businessman for imported cases. Farmers accounted for a larger proportion of dengue cases in Yunnan. The findings of epidemiological characteristics and differences of dengue fever in Guangdong and Yunnan are helpful to formulate targeted, strategic plans and implement effective public health prevention and control measures in China.


2021 ◽  
Author(s):  
Xinchang Lun ◽  
Yiguan Wang ◽  
Chunchun Zhao ◽  
Haixia Wu ◽  
Caiying Zhu ◽  
...  

Abstract (1) Background: Overseas imported dengue fever is an important factor in the local epidemic of dengue fever in mainland China. Therefore, in order to effectively prevent and control the local epidemic of dengue fever in mainland China, the epidemiological characteristics and temporal-spatial distribution of overseas imported dengue fever cases in provinces where dengue fever is endemic in mainland China are explored. (2) Methods: Through the infectious disease report information management system of the Chinese Disease Prevention and Control Information System, we sorted out overseas imported dengue fever cases in local outbreaks of dengue fever in mainland China from 2005 to 2019. Using Excel 2016 to sort out the data and draw the epidemic curve and population characteristic distribution of overseas imported cases in each province. Using ArcGIS 10.7 and SaTScan 9.5, we analyzed the temporal-spatial distribution of dengue fever in provinces where dengue fever is outbreak in mainland China. (3) Results: A total of 11407 imported cases, mainly from Southeast Asia, were recorded from 2005 to 2019 in 13 provinces, of which 62.08% were imported into Yunnan and Guangdong provinces. Among the imported cases, there were more males than females, mainly from 21-50 age group. 59.18% of the cases were farmers, businessmen, housework or unemployed. The hot spots were concentrated in parts of Yunnan and Guangdong provinces. Meanwhile,we found the clustered areas were expanding northward. (4) Conclusions: Focus on the publicity and education of dengue fever prevention knowledge among men, 21-50 years old, farmers, business services, housework or unemployed professionals. Further improve the awareness of the prevention and control of imported cases in border areas and economically developed cities. At the same time, the northern region cannot relax its vigilance.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Yujuan Yue ◽  
Qiyong Liu ◽  
Xiaobo Liu ◽  
Haixia Wu ◽  
Mingfang Xu

Abstract Background In China, Guangdong and Yunnan are the two most dengue-affected provinces. This study aimed to compare the epidemiological characteristics of dengue fever in Guangdong and Yunnan during 2004–2018. Methods Descriptive analyses were used to explore the temporal, spatial, and demographic distribution of dengue fever. Results Of the 73,761 dengue cases reported in mainland China during 2004–2018, 93.7% indigenous and 65.9% imported cases occurred in Guangdong and Yunnan, respectively. A total of 55,970 and 5938 indigenous cases occurred in 108 Guangdong and 8 Yunnan counties, respectively during 2004–2018. Whereas 1146 and 3050 imported cases occurred in 84 Guangdong and 72 Yunnan counties, respectively during 2004–2018. Guangdong had a much higher average yearly indigenous incidence rate (3.65 (1/100000) vs 0.86 (1/100000)), but a much lower average yearly imported incidence rate (0.07 (1/100000) vs 0.44(1/100000)) compared with Yunnan in 2004–2018. Furthermore, dengue fever occurred more widely in space and more frequently in time in Guangdong. Guangdong and Yunnan had similar seasonal characteristics for dengue fever, but Guangdong had a longer peak period. Most dengue cases were clustered in the south-western border of Yunnan and the Pearl River Delta region in Guangdong. Most of the imported cases (93.9%) in Guangdong and Yunnan were from 9 Southeast Asian countries. Thailand, Cambodia, and Malaysia imported mainly into Guangdong while Myanmar and Laos imported into Yunnan. There was a strong male predominance among imported cases and an almost equal gender distribution among indigenous cases. Most dengue cases occurred in individuals aged 21–50 years, accounting for 57.3% (Guangdong) vs. 62.8% (Yunnan) of indigenous and 83.2% (Guangdong) vs. 62.6% (Yunnan) of imported cases. The associated major occupations (house worker or unemployed, retiree, and businessman, for indigenous cases; and businessman, for imported cases), were similar. However, farmers accounted for a larger proportion of dengue cases in Yunnan. Conclusions Identifying the different epidemiological characteristics of dengue fever in Guangdong and Yunnan can be helpful to formulate targeted, strategic plans, and implement effective public health prevention measures in China.


Author(s):  
Y. Arockia Suganthi ◽  
Chitra K. ◽  
J. Magelin Mary

Dengue fever is a painful mosquito-borne infection caused by different types of virus in various localities of the world. There is no particular medicine or vaccine to treat person suffering from dengue fever. Dengue viruses are transmitted by the bite of female Aedes (Ae) mosquitoes. Dengue fever viruses are mainly transmitted by Aedes which can be active in tropical or subtropical climates. Aedes Aegypti is the key step to avoid infection transmission to save millions of people in all over the world. This paper provides a standard guideline in the planning of dengue prevention and control measures. At the same time gives the priorities including clinical management and hospitalized dengue patients have to address essentially.


2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
F Franke ◽  
S Giron ◽  
A Cochet ◽  
C Jeannin ◽  
I Leparc-Goffart ◽  
...  

Abstract Background Aedes albopictus, vector of dengue and chikungunya viruses, is implanted in mainland France, exposing to the risk of autochthonous transmission. Since 2006, epidemiological and entomological surveillance activities aim to prevent or limit the occurrence of autochthonous cases. We aimed to describe episodes of transmission and control measures implemented in order to reflect on surveillance activities. Methods We reviewed all publications and documents produced on autochthonous transmission episodes in France and surveillance protocols. We reviewed surveillance activities, investigation methods and control measures implemented. Results Between 2010 and 2018, eight episodes of autochthonous dengue fever transmission and three of chikungunya were recorded in mainland France. All of them occurred in the South east of France, between July and October, when vector density was the highest. Transmission areas were limited to single domestic houses located in discontinuous urban areas. Only two episodes happened in two distinct areas. Chikungunya episodes led to 31 cases and dengue fever episodes to 23 cases. Most cases were identified by door-to-door investigations set-up in transmission areas. We isolated serotypes 1 and 2 for dengue and East Central South Africa lineage for chikungunya in autochthonous cases. Adulticide vector control measures were effective in controlling transmission. Seven episodes of transmission were due to failure in identifying primary imported cases. Four episodes occurred because of the absence or the lack of vector controls measures around primary imported cases. Conclusions Surveillance activities, and autochthonous cases investigations, were effective in limiting the extent of transmission, but were highly demanding for surveillance actors. Identified causes of transmission highlight the need of regular awareness campaigns targeting physicians and biologists. Key messages Effectiveness of the surveillance system of dengue, chikungunya and zika viruses, and autochthonous cases investigations. Needs of awareness and training courses targeting health professionals to the risk represented by these viruses.


2020 ◽  
pp. 016327872097183
Author(s):  
Xiaoliang Chen ◽  
Tieqiang Wang ◽  
Yang Zhao ◽  
Yunjie Wu ◽  
Ranran Qie ◽  
...  

Novel coronavirus disease 2019 (COVID-19) was present in most provinces of China after January 2020. We implemented a surveillance and screening strategy that included early detection of laboratory-confirmed COVID-19 cases and people who were exposed to the disease in Guangming District of Shenzhen. Separate targeted treatment and management strategies were applied to confirmed and suspected cases. From January 23 to March 13, 2020, we found 12 suspected cases, and 11 were confirmed as positive. Although eight of the 11 confirmed cases were family-aggregated, they were all imported cases with common exposure, which did not further cause local community transmission, and no medical staff were infected. After February 14, when the last case was confirmed, there were no newly confirmed cases for 28 consecutive days under the strict outbreak control. The targeted and whole-society involved prevention and control measures prevented the spread of the disease in a very short time and provided a strong guarantee for the orderly recovery of returning to work and social activities.


Author(s):  
Xiang-Sha Kong ◽  
Feng Liu ◽  
Hai-Bo Wang ◽  
Rui-Feng Yang ◽  
Dong-Bo Chen ◽  
...  

AbstractAt the end of 2019, an outbreak of unknown pathogen pneumonia occurred in China, then it was named corona virus disease 2019 (COVID-19). With the rapid spread of COVID-19, a series of strict prevention and control measures were implemented to cut the spread of the epidemic. Influenza as a respiratory tract infection disease as COVID-19 might also be controlled. To assess the effects, we used the total passenger numbers sent in mainland China from 2018 to 2020 and the daily number of railway passenger (DNRP) flow in 2020 during Spring Festival travel rush to reflect the population movement and further to analyze newly and cumulative confirmed COVID-19 and influenza. We found that with implementing the series measures on COVID-19, not only COVID-19, but also influenza mitigated in China. The prevention and control measures for COVID-19 might be used in controlling respiratory tract diseases, and reducing the national health economic burden. When other countries issue measures on COVID-19 and influenza, they should consider adopting more aggressive epidemic prevention and control strategies.


2020 ◽  
Author(s):  
Yujuan Yue ◽  
Qiyong Liu ◽  
Xiaobo Liu ◽  
Haixia Wu

Abstract Background Guangdong and Yunnan were the two provinces with the toughest dengue epidemic in China. It was to compare epidemiological characteristics of dengue fever there, 2004-2018. Methods Epidemiological method and spatial-temporal analysis were used to explore time-series, spatial and demographic features of dengue fever.Results 93.7% of indigenous cases and 65.9 % of imported cases in mainland China, 2004-2018 occurred in Guangdong and Yunnan. 55,970 and 5,938 indigenous cases occurred in 108 counties of Guangdong and 8 counties of Yunnan, respectively. 1,146 and 3,050 imported cases occurred in 84 counties of Guangdong and 72 counties of Yunnan, respectively. Guangdong and Yunnan had similar seasonal characteristics for dengue fever, and Guangdong had a longer peak period. 85.1% of indigenous cases in Yunnan were located in Ruili City and Jinghong City along the southwestern border. Most dengue cases in Guangdong occurred in the Pearl River Delta region, and especially more than 70.0% of dengue cases in Guangdong occurred in Guangzhou City. 93.9% of imported cases in Guangdong and Yunnan were imported from 9 countries of Southeast Asia. Thailand, Cambodia and Malaysia were the main imported origins in Guangdong. Myanmar and Laos were the main imported origins in Yunnan. There was a strong male predominance among imported cases and an almost equal gender distribution among indigenous cases. Most dengue cases were from individuals in 21-50 years old, accounting for 57.3% and 62.8% of indigenous cases and 83.2% and 62.6% of imported cases in Guangdong and Yunnan, respectively. There were similar major occupations as housework or unemployment, retiree and businessman for indigenous cases, and businessman for imported cases. However, farmers accounted for a larger proportion of dengue cases in Yunnan.Conclusions The findings of epidemiological characteristics and differences of dengue fever in Guangdong and Yunnan are helpful to formulate targeted, strategic plans and implement effective public health prevention measures in China.


2020 ◽  
Author(s):  
Xinyin Xu ◽  
Jing Zeng ◽  
Runyou Liu ◽  
Yang Liu ◽  
Xiaobo Zhou ◽  
...  

Abstract Background: The COVID-19 spread worldwide quickly. Exploring the epidemiological characteristics could provide a basis for responding to imported cases abroad and to formulate prevention and control strategies in areas where COVID-19 is still spreading rapidly. Methods: The number of confirmed cases, daily growth, incidence and length of time from the first reported case to the end of the local cases (i.e., non-overseas imported cases) were compared by spatial (geographical) and temporal classification and visualization of the development and changes of the epidemic situation by layers through maps. Results: In the first wave, a total of 539 cases were reported in Sichuan, with an incidence rate of 0.6462/100,000. The closer to Hubei the population centres were, the more pronounced the epidemic was. The peak in Sichuan Province occurred in the second week. Eight weeks after the Wuhan lockdown, the health crisis had eased. The longest epidemic length at the city level in China (except Wuhan, Taiwan, and Hong Kong) was 53 days, with a median of 23 days. Spatial autocorrelation analysis of China showed positive spatial correlation (Moran's Index >0, p<0.05). Most countries outside China began to experience a rapid rise in infection rates 4 weeks after their first case. Some European countries experienced that rise earlier than the USA. The pandemic in Germany, Spain, Italy, and China took 28, 29, 34, and 18 days, respectively, to reach the peak of daily infections, after their daily increase of up to 20 cases. During this time, countries in the African region and Southeast Asian region were at an early stage of infections, those in the Eastern Mediterranean region and region of the Americas were in a rapid growth phase. Conclusions: After the closure of the outbreak city, appropriate isolation and control measures in the next 8 weeks were key to control the outbreak, which reduced the peak value and length of the outbreak. Some countries with improved epidemic situations need to develop a continuous "local strategy at entry checkpoints" to respond to a possible second local epidemic.


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