Wu Yi-Cheng, Qian Quan, Magalhaes Ricardo J Soares, Han Zhi-Hai, Haque Ubydul, Weppelmann Thomas A, Hu Wen-Biao, Liu Yun-Xi, Sun Yan-Song, Zhang Wen-Yi, Li Shen-Long
Institute of Disease Control and Prevention Academy of Military Medical Science, Beijing, People's Republic of China; School of Veterinary Science, Centre for Children's Health Research, University of Queensland, Brisbane, Australia; Navy General Hospital of People's Liberation Army, Beijing, People's Republic of China; Emerging Pathogens Institute, University of Florida, Gainesville, Florida; Department of Environmental and Global Health, College of Public Health and Health Professions, University of Florida, Gainesville, Florida; School of Public Health and Social Work, Queensland University of Technology, Brisbane, Australia; Chinese People's Liberation Army General Hospital, Beijing, People's Republic of China; Academy of Military Medical Science, Beijing, People's Republic of China.
Institute of Disease Control and Prevention Academy of Military Medical Science, Beijing, People's Republic of China; School of Veterinary Science, Centre for Children's Health Research, University of Queensland, Brisbane, Australia; Navy General Hospital of People's Liberation Army, Beijing, People's Republic of China; Emerging Pathogens Institute, University of Florida, Gainesville, Florida; Department of Environmental and Global Health, College of Public Health and Health Professions, University of Florida, Gainesville, Florida; School of Public Health and Social Work, Queensland University of Technology, Brisbane, Australia; Chinese People's Liberation Army General Hospital, Beijing, People's Republic of China; Academy of Military Medical Science, Beijing, People's Republic of China
Am J Trop Med Hyg. 2016 Mar;94(3):532-6. doi: 10.4269/ajtmh.15-0663. Epub 2015 Dec 28.
Scrub typhus is a vector-borne disease, which has recently reemerged in China. In this study, we describe the distribution and incidence of scrub typhus cases in China from 2006 to 2014 and quantify differences in scrub typhus cases with respect to sex, age, and occupation. The results of our study indicate that the annual incidence of scrub typhus has increased during the study period. The number of cases peaked in 2014, which was 12.8 times greater than the number of cases reported in 2006. Most (77.97%) of the cases were reported in five provinces (Guangdong, Yunnan, Anhui, Fujian, and Shandong). Our study also demonstrates that the incidence rate of scrub typhus was significantly higher in females compared to males (P < 0.001) and was highest in the 60-69 year age group, and that farmers had a higher incidence rate than nonfarmers (P < 0.001). Different seasonal trends were identified in the number of reported cases between the northern and southern provinces of China. These findings not only demonstrate that China has experienced a large increase in scrub typhus incidence, but also document an expansion in the geographic distribution throughout the country.
恙虫病是一种媒介传播疾病，最近在中国再度出现。在本研究中，我们描述了2006年至2014年中国恙虫病病例的分布和发病率，并对恙虫病病例在性别、年龄和职业方面的差异进行了量化。我们的研究结果表明，在研究期间恙虫病的年发病率有所上升。病例数在2014年达到峰值，是2006年报告病例数的12.8倍。大多数（77.97%）病例报告来自五个省份（广东、云南、安徽、福建和山东）。我们的研究还表明，恙虫病的发病率女性显著高于男性（P < 0.001），在60 - 69岁年龄组最高，并且农民的发病率高于非农民（P < 0.001）。在中国北方和南方省份之间，报告病例数呈现出不同的季节性趋势。这些发现不仅表明中国恙虫病发病率大幅上升，而且记录了其在全国地理分布范围的扩大。
