Dataset Information

Epidemiological changes in measles infections in southern China between 2009 and 2016: a retrospective database analysis.

ABSTRACT: BACKGROUND:The incidence rate of measles in China reached a nadir in 2012 after 2 supplementary immunization activities (SIAs) were undertaken in 2009 and 2010. However, the disease began re-emerging in 2013, with a high prevalence rate observed in 2013-2014 in the southern province of Guangdong. In this study, we assessed the changes that occurred in measles epidemiology during 2009-2016, particularly between 2009 and 2011 (when the influence of the SIAs were in full effect) and between 2012 and 2016 (when this influence subsided). METHODS:Data from 22,362 patients with measles diagnosed between 2009 and 2016, and whose diagnoses were confirmed clinically and/or with laboratory testing, were extracted from the National Infectious Disease Monitoring Information System. Descriptive analyses were performed, and changes in epidemiological characteristics between 2009 and 2011 and 2012-2016 were compared. RESULTS:There was a substantial surge in 0-8-month-old patients after 2012; the incidence rate increased from 4.0 per 100,000 population in 2011 (10.3% of the total) to 280 per 100,000 population in 2013 (32.8% of the total). Patients aged 0-6?years represented 73.4% of the total increase between 2011 and 2013. Compared with 2009-2011, adults aged ?25?years accounted for a higher proportion of patients in 2013 and after (p?

SUBMITTER: Zheng H

PROVIDER: S-EPMC7059666 | biostudies-literature | 2020 Mar

REPOSITORIES: biostudies-literature

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Epidemiological changes in measles infections in southern China between 2009 and 2016: a retrospective database analysis.

Zheng Huizhen H Jia Katherine Min KM Sun Riyang R Hu Pui P Wang Maggie Haitian MH Zee Benny Chung-Ying BC Liang Wenjia W Chong Ka Chun KC

BMC infectious diseases 20200306 1

<h4>Background</h4>The incidence rate of measles in China reached a nadir in 2012 after 2 supplementary immunization activities (SIAs) were undertaken in 2009 and 2010. However, the disease began re-emerging in 2013, with a high prevalence rate observed in 2013-2014 in the southern province of Guangdong. In this study, we assessed the changes that occurred in measles epidemiology during 2009-2016, particularly between 2009 and 2011 (when the influence of the SIAs were in full effect) and between ...[more]

PMID: 32138688

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Project description:ImportanceThe World Health Organization End TB (Tuberculosis) Strategy aims to decrease the global incidence and mortality of TB by 90% and 95%, respectively, as of 2035.ObjectiveTo characterize the recent epidemiological trend of pulmonary TB (PTB) in mainland China based on the national surveillance data.Design, setting, and participantsThis cross-sectional study collected demographic and clinical data of all patients reported in the national Tuberculosis Information Management System of China from January 1, 2005, to November 21, 2016. Data were analyzed from December 1, 2019, to July 31, 2020.ExposuresPulmonary TB was defined as bacteriologically confirmed or clinically diagnosed TB in the lung parenchyma or the tracheobronchial tree.Main outcomes and measuresTemporal and spatial variation of annual incidence and demographic features of PTB in mainland China.ResultsIn total, 10 582 903 patients with PTB were reported in mainland China from 2005 to 2016. The median age of patients with PTB was 46 (interquartile range [IQR], 30-61) years, and 28.53% were 60 years or older. Most patients with PTB were male (69.8%) and farmers or herders (70.0%). The mean (SD) incidence of PTB was 66.61 (8.09) per 100 000 population. The annual incidence decreased from 72.95 per 100 000 population in 2005 to 52.18 per 100 000 population in 2016, and the reduction was greater in the eastern and central regions (31.6%; from 69.43 to 47.48 per 100 000 population) than in the western region (21.0%; from 82.06 to 64.82 per 100 000 population). Xinjiang Uygur Autonomous Region (135.03 per 100 000 population), Guizhou Province (115.98 per 100 000 population), and the Tibet Autonomous Region (101.98 per 100 000 population) had the highest mean annual incidences. The median time from onset of illness to diagnosis decreased from 36 (IQR, 16-92) days from 2005 to 2007 to 31 (IQR, 15-63) days in 2008 and later (P < .001) and was longer in the western region than in the eastern and central regions (41 [IQR, 20-91] vs 30 [IQR, 13-61] days; P < .001).Conclusions and relevanceAlthough this study found that the incidence of PTB in mainland China showed a downward trend from 2005 to 2016, to achieve the World Health Organization 2035 goal, innovative and more efficient prevention and control strategies are needed, particularly among the most susceptible population, that is, farmers and herders in western China.

Dataset Information

Epidemiological changes in measles infections in southern China between 2009 and 2016: a retrospective database analysis.

Publications

Epidemiological changes in measles infections in southern China between 2009 and 2016: a retrospective database analysis.

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