Epidemiology of human anthrax in China, 1955-2014
Epidemiology of human anthrax in China, 1955-2014
Using national surveillance data for 120,111 human anthrax cases recorded during 1955-2014, we analyzed the temporal, seasonal, geographic, and demographic distribution of this disease in China. After 1978, incidence decreased until 2013, when it reached a low of 0.014 cases/100,000 population. The case-fatality rate, cumulatively 3.6% during the study period, has also decreased since 1990. Cases occurred throughout the year, peaking in August. Geographic distribution decreased overall from west to east, but the cumulative number of affected counties increased during 2005-2014. The disease has shifted from industrial to agricultural workers; 86.7% of cases occurred in farmers and herdsmen. Most (97.7%) reported cases were the cutaneous form. Although progress has been made in reducing incidence, this study highlights areas that need improvement. Adequate laboratory diagnosis is lacking; only 7.6% of cases received laboratory confirmation. Geographic expansion of the disease indicates that livestock control programs will be essential in eradicating anthrax.
14-21
Li, Yu
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Yin, Wenwu
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Hugh-Jones, Martin
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Wang, Liping
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Mu, Di
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Ren, Xiang
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Zeng, Lingjia
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Chen, Qiulan
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Li, Wei
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Wei, Jianchun
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Lai, Shengjie
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Zhou, Hang
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Yu, Hongjie
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January 2017
Li, Yu
23fe8f7d-b310-4a65-a9c0-1b76009de5d9
Yin, Wenwu
08baf5f0-df1b-4e67-b251-427ba3bce1b4
Hugh-Jones, Martin
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Wang, Liping
ef5828b8-d874-42db-bb25-713890281af2
Mu, Di
e58d130e-3c45-4641-9b80-a8f0bf7e8c5e
Ren, Xiang
79e57eaa-a085-47b3-a8b3-274840938696
Zeng, Lingjia
a2c6f34d-0ec7-4bbe-8251-57c8aa45321e
Chen, Qiulan
ba6f6420-7bdd-4650-b34d-b5e084baff96
Li, Wei
ab5e097b-b347-4edf-95dd-2b245edf0f81
Wei, Jianchun
c0dac969-1ecd-434d-ae32-116fdcf6f5af
Lai, Shengjie
b57a5fe8-cfb6-4fa7-b414-a98bb891b001
Zhou, Hang
e6311e21-1708-41e9-ac9b-bfdd834102b9
Yu, Hongjie
f6a43c0c-0da8-4124-bd15-cd832d6fee7c
Li, Yu, Yin, Wenwu, Hugh-Jones, Martin, Wang, Liping, Mu, Di, Ren, Xiang, Zeng, Lingjia, Chen, Qiulan, Li, Wei, Wei, Jianchun, Lai, Shengjie, Zhou, Hang and Yu, Hongjie
(2017)
Epidemiology of human anthrax in China, 1955-2014.
Emerging Infectious Diseases, 23 (1), .
(doi:10.3201/eid2301.150947).
Abstract
Using national surveillance data for 120,111 human anthrax cases recorded during 1955-2014, we analyzed the temporal, seasonal, geographic, and demographic distribution of this disease in China. After 1978, incidence decreased until 2013, when it reached a low of 0.014 cases/100,000 population. The case-fatality rate, cumulatively 3.6% during the study period, has also decreased since 1990. Cases occurred throughout the year, peaking in August. Geographic distribution decreased overall from west to east, but the cumulative number of affected counties increased during 2005-2014. The disease has shifted from industrial to agricultural workers; 86.7% of cases occurred in farmers and herdsmen. Most (97.7%) reported cases were the cutaneous form. Although progress has been made in reducing incidence, this study highlights areas that need improvement. Adequate laboratory diagnosis is lacking; only 7.6% of cases received laboratory confirmation. Geographic expansion of the disease indicates that livestock control programs will be essential in eradicating anthrax.
Text
2017- EID- Epidemiology of human anthrax in China, 1955-2014.pdf
- Version of Record
More information
Accepted/In Press date: 21 November 2016
Published date: January 2017
Organisations:
WorldPop, Population, Health & Wellbeing (PHeW)
Identifiers
Local EPrints ID: 405106
URI: http://eprints.soton.ac.uk/id/eprint/405106
ISSN: 1080-6059
PURE UUID: d738b191-972f-47a5-83bb-521c4dc5ccdb
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Date deposited: 27 Jan 2017 09:40
Last modified: 16 Mar 2024 04:36
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Contributors
Author:
Yu Li
Author:
Wenwu Yin
Author:
Martin Hugh-Jones
Author:
Liping Wang
Author:
Di Mu
Author:
Xiang Ren
Author:
Lingjia Zeng
Author:
Qiulan Chen
Author:
Wei Li
Author:
Jianchun Wei
Author:
Hang Zhou
Author:
Hongjie Yu
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