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Incidence and trends of 17 notifiable bacterial infectious diseases in China, 2004–2019

BACKGROUND: Certain bacterial infectious diseases are categorized as notifiable infectious diseases in China. Understanding the time-varying epidemiology of bacterial infections diseases can provide scientific evidence to inform prevention and control measures. METHODS: Yearly incidence data for all...

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Autores principales: Zhu, Yuliang, Lin, Shenghong, Dong, Shuaibing, Zhang, Cuihong, Shi, Lusha, Ren, Xiang, Li, Zhongjie, Wang, Liping, Fang, Liqun
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10152418/
https://www.ncbi.nlm.nih.gov/pubmed/37131164
http://dx.doi.org/10.1186/s12879-023-08194-z
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author Zhu, Yuliang
Lin, Shenghong
Dong, Shuaibing
Zhang, Cuihong
Shi, Lusha
Ren, Xiang
Li, Zhongjie
Wang, Liping
Fang, Liqun
author_facet Zhu, Yuliang
Lin, Shenghong
Dong, Shuaibing
Zhang, Cuihong
Shi, Lusha
Ren, Xiang
Li, Zhongjie
Wang, Liping
Fang, Liqun
author_sort Zhu, Yuliang
collection PubMed
description BACKGROUND: Certain bacterial infectious diseases are categorized as notifiable infectious diseases in China. Understanding the time-varying epidemiology of bacterial infections diseases can provide scientific evidence to inform prevention and control measures. METHODS: Yearly incidence data for all 17 major notifiable bacterial infectious diseases (BIDs) at the province level were obtained from the National Notifiable Infectious Disease Reporting Information System in China between 2004 and 2019. Of them 16 BIDs are divided into four categories, respiratory transmitted diseases (RTDs, 6 diseases), direct contact/fecal-oral transmitted diseases (DCFTDs, 3 diseases), blood-borne/sexually transmitted diseases (BSTDs, 2 diseases), and zoonotic and vector-borne diseases (ZVDs, 5 diseases), and neonatal tetanus is excluded in the analysis. We characterized the demographic, temporal, and geographical features of the BIDs and examined their changing trends using a joinpoint regression analysis. RESULTS: During 2004‒2019, 28 779 thousand cases of BIDs were reported, with an annualized incidence rate of 134.00 per 100 000. RTDs were the most commonly reported BIDs, accounting for 57.02% of the cases (16 410 639/28 779 000). Average annual percent changes (AAPC) in incidence were − 1.98% for RTDs, − 11.66% for DCFTDs, 4.74% for BSTDs, and 4.46% for ZVDs. Females had a higher incidence of syphilis than males, and other BIDs were more commonly reported in males. Among 0-5-year-olds, the diseases with the largest increases in incidence were pertussis (15.17% AAPC) and scarlet fever (12.05%). Children and students had the highest incidence rates of scarlet fever, pertussis, meningococcal meningitis, and bacillary dysentery. Northwest China had the highest incidence of RTDs, while South and East China had the highest incidences of BSTDs. Laboratory confirmation of BIDs increased from 43.80 to 64.04% during the study period. CONCLUSIONS: RTDs and DCFTDs decreased from 2004 to 2019 in China, while BSTDs and ZVDs increased during the same period. Great attention should be paid to BSTDs and ZVDs, active surveillance should be strengthened, and timely control measures should be adopted to reduce the incidence. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12879-023-08194-z.
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spelling pubmed-101524182023-05-03 Incidence and trends of 17 notifiable bacterial infectious diseases in China, 2004–2019 Zhu, Yuliang Lin, Shenghong Dong, Shuaibing Zhang, Cuihong Shi, Lusha Ren, Xiang Li, Zhongjie Wang, Liping Fang, Liqun BMC Infect Dis Research BACKGROUND: Certain bacterial infectious diseases are categorized as notifiable infectious diseases in China. Understanding the time-varying epidemiology of bacterial infections diseases can provide scientific evidence to inform prevention and control measures. METHODS: Yearly incidence data for all 17 major notifiable bacterial infectious diseases (BIDs) at the province level were obtained from the National Notifiable Infectious Disease Reporting Information System in China between 2004 and 2019. Of them 16 BIDs are divided into four categories, respiratory transmitted diseases (RTDs, 6 diseases), direct contact/fecal-oral transmitted diseases (DCFTDs, 3 diseases), blood-borne/sexually transmitted diseases (BSTDs, 2 diseases), and zoonotic and vector-borne diseases (ZVDs, 5 diseases), and neonatal tetanus is excluded in the analysis. We characterized the demographic, temporal, and geographical features of the BIDs and examined their changing trends using a joinpoint regression analysis. RESULTS: During 2004‒2019, 28 779 thousand cases of BIDs were reported, with an annualized incidence rate of 134.00 per 100 000. RTDs were the most commonly reported BIDs, accounting for 57.02% of the cases (16 410 639/28 779 000). Average annual percent changes (AAPC) in incidence were − 1.98% for RTDs, − 11.66% for DCFTDs, 4.74% for BSTDs, and 4.46% for ZVDs. Females had a higher incidence of syphilis than males, and other BIDs were more commonly reported in males. Among 0-5-year-olds, the diseases with the largest increases in incidence were pertussis (15.17% AAPC) and scarlet fever (12.05%). Children and students had the highest incidence rates of scarlet fever, pertussis, meningococcal meningitis, and bacillary dysentery. Northwest China had the highest incidence of RTDs, while South and East China had the highest incidences of BSTDs. Laboratory confirmation of BIDs increased from 43.80 to 64.04% during the study period. CONCLUSIONS: RTDs and DCFTDs decreased from 2004 to 2019 in China, while BSTDs and ZVDs increased during the same period. Great attention should be paid to BSTDs and ZVDs, active surveillance should be strengthened, and timely control measures should be adopted to reduce the incidence. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12879-023-08194-z. BioMed Central 2023-05-02 /pmc/articles/PMC10152418/ /pubmed/37131164 http://dx.doi.org/10.1186/s12879-023-08194-z Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Zhu, Yuliang
Lin, Shenghong
Dong, Shuaibing
Zhang, Cuihong
Shi, Lusha
Ren, Xiang
Li, Zhongjie
Wang, Liping
Fang, Liqun
Incidence and trends of 17 notifiable bacterial infectious diseases in China, 2004–2019
title Incidence and trends of 17 notifiable bacterial infectious diseases in China, 2004–2019
title_full Incidence and trends of 17 notifiable bacterial infectious diseases in China, 2004–2019
title_fullStr Incidence and trends of 17 notifiable bacterial infectious diseases in China, 2004–2019
title_full_unstemmed Incidence and trends of 17 notifiable bacterial infectious diseases in China, 2004–2019
title_short Incidence and trends of 17 notifiable bacterial infectious diseases in China, 2004–2019
title_sort incidence and trends of 17 notifiable bacterial infectious diseases in china, 2004–2019
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10152418/
https://www.ncbi.nlm.nih.gov/pubmed/37131164
http://dx.doi.org/10.1186/s12879-023-08194-z
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