The spatio-temporal characteristics of hand-foot-mouth disease in Shaanxi Province, 2013-2017

BAI Yao; CHEN Zhi-jun; CHEN Bao-zhong; LIU Kun; SHAO Zhong-jun

doi:10.16462/j.cnki.zhjbkz.2021.03.015

Volume 25 Issue 3

Mar. 2021

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Article Navigation > CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION > 2021 > 25(3): 329-334

BAI Yao, CHEN Zhi-jun, CHEN Bao-zhong, LIU Kun, SHAO Zhong-jun. The spatio-temporal characteristics of hand-foot-mouth disease in Shaanxi Province, 2013-2017[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2021, 25(3): 329-334. doi: 10.16462/j.cnki.zhjbkz.2021.03.015

Citation:

BAI Yao, CHEN Zhi-jun, CHEN Bao-zhong, LIU Kun, SHAO Zhong-jun. The spatio-temporal characteristics of hand-foot-mouth disease in Shaanxi Province, 2013-2017[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2021, 25(3): 329-334. doi: 10.16462/j.cnki.zhjbkz.2021.03.015

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The spatio-temporal characteristics of hand-foot-mouth disease in Shaanxi Province, 2013-2017

doi: 10.16462/j.cnki.zhjbkz.2021.03.015

1.
Department of Epidemiology, School of Military Preventive Medicine, Ministry of Education Key Lab of Hazard Assessment and Control in Special Operational Environment, Air Force Medical University, Xi'an 710032, China
2.
Department of Infection Disease Control and Prevention, Xi'an Center for Disease Prevention and Control, Xi'an 710054, China

Funds:

China Special Grant for the Prevention and Control of Infection Diseases 2017ZX10105011

Surface project of National Natural Science Foundation AAA

Shaanxi Provincial Basic project of Natural Science Foundation 2017JQ8015

More Information

Corresponding author: SHAO Zhong-jun, E-mail: 13759981783@163.com
Received Date: 2020-07-13
Rev Recd Date: 2020-12-26
Publish Date: 2021-03-10

Abstract

Abstract

Objective To obtain the spatial-temporal dynamical features of hand-foot-mouth disease(HFMD) in Shaanxi Province, so as to provide evidence for the development of relative prevention and control programs on HFMD. Methods Surveillance data of HFMD was collected from the China Information System for Diseases Control and Prevention from 2013 to 2017. Related data on population was obtained from Shaanxi Statistical Yearbook. Statistical tools as R 3.4.1, ArcGIS 10.2 and Satscan 9.2 software were used to analyse the spatial-temporal characteristics of the disease. Results A total of 284 225 cases of HFMD were reported in Shaanxi Province from 2013 to 2017, with an average annual incidence as 150.45 per 100 000. 70.69% of the total cases were identified between April and July. Counties with high incidence were mainly distributed in the mid-east parts of Guanzhong area(Central Shaanxi Plain). The spatial distribution of severe as well as death cases were basically consistent with the total cases. Through temporal and spatial scan statistics, we identified that there were four hot spots in Shaanxi Province, the most likely clustering area was fixed to the central and southeast counties of Shaanxi province which were around Xi'an City from 2013 to 2017 (RR=2.25, 95% CI: 2.18-3.11, P < 0.001), but the location of the secondary clustering area was not fixed. The predominant epidemic pathogen of HFMD was other enteroviruses from 2013 to 2017. Conclusions Significant spatial-temporal aggregation of HFMD was seen in Shaanxi Province. In recent years, other enteroviruses have became the main pathogeny, and multiple pathogens have been circulating alternately. Specific measures should be taken for different periods and regions to control the disease effectively.
- Hand-foot-mouth disease,
- Spatial epidemiology,
- Spatial-temporal scan statistics

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References(12)

References

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