Observational studyThe Lancet. Infectious diseases2017
Epidemiological features of and changes in incidence of infectious diseases in China in the first decade after the SARS outbreak: an observational trend study.
Observational study in The Lancet. Infectious diseases, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 162 papers, 5 of them syntheses that pooled it.
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Who cites it
162 citing papers in PubMed, 5 syntheses or guidelines pooled it, 245 citations in OpenAlex.
- Meteorological Factors Affecting Infectious Diarrhea in Different Climate Zones of China.International journal of environmental research and public health · 2022Pooled it
- The effect and attributable risk of daily temperature on category C infectious diarrhea in Guangdong Province, China.Environmental science and pollution research international · 2022Pooled it
- Age-adjusted quick Sequential Organ Failure Assessment score for predicting mortality and disease severity in children with infection: a systematic review and meta-analysis.Scientific reports · 2021Pooled it
- Risk-Based Estimate of Human Fungal Disease Burden, China.Emerging infectious diseases · 2020Pooled it
- Pooled it
- Distribution of reported syphilis cases in South China: spatiotemporal analysis.Scientific reports · 2018Trial
- Trends in incidence and DALYs of infectious disease from 2000 to 2023 and the attributable risk factors in China: an analysis of the Global Burden of Disease Study 2023.The Lancet regional health. Western Pacific · 2026Article
- Weighted ensemble learning outperforms statistical, machine-learning, and deep-learning models for varicella forecasting: a 12-model benchmarking study using 11-year surveillance data from Nanjing, China.Frontiers in public health · 2026Article
- Exploring the multidimensional factors associated with the incidence of bacillary dysentery in China based on a panel data model.Frontiers in public health · 2026Article
- The changing epidemiology of syphilis: new strategies for new challenges in China.The Lancet regional health. Western Pacific · 2025Review
- Epidemiological analysis of infectious diseases in older people in China from 2014 to 2022: a population-based study.The Lancet regional health. Western Pacific · 2025Article
- Epidemiological shifts in 23 acute infectious diseases in Southwest China (2005-2024): trends and implications for surveillance.BMC public health · 2025Article
- Epidemiological characteristics and socioeconomic factors of sexually transmitted infections in China during 2002-2021.BMC public health · 2025Article
- Tuberculosis Trends in the Post-COVID-19 Era: Is It Going to be a Global Concern?Health science reports · 2025Article
- Analysis and prediction of the incidence temporal trends of echinococcosis in China from 2010 to 2021.Scientific reports · 2025Article
- Trends and impact of government prevention policies on pulmonary tuberculosis notification and mortality in Ningbo, China (2004-2021).Frontiers in tuberculosis · 2025Article
- Multimodal Magnetic Resonance Imaging and Radiomics in Brucella Spondylitis: Diagnostic Applications and Differential Diagnosis.Journal of multidisciplinary healthcare · 2025Review
- Air pollution's numerical, spatial, and temporal heterogeneous impacts on childhood hand, foot and mouth disease: a multi-model county-level study from China.BMC public health · 2024Article
- Trends and Spatial Pattern Analysis of Typhoid and Paratyphoid Fever Incidence - Yunnan Province, China, 1989-2022.China CDC weekly · 2024Article
- Epidemiological changes of scarlet fever before, during and after the COVID-19 pandemic in Chongqing, China: a 19-year surveillance and prediction study.BMC public health · 2024Article
102 more citing papers are in PubMed but not listed here.
Corrections and comments
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- Erratum issuedCorrections.2017
Authors and funding
12 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe model of infectious disease prevention and control changed significantly in China after the outbreak in 2003 of severe acute respiratory syndrome (SARS), but trends and epidemiological features of infectious diseases are rarely studied. In this study, we aimed to assess specific incidence and mortality trends of 45 notifiable infectious diseases from 2004 to 2013 in China and to investigate the overall effectiveness of current prevention and control strategies.
methodsIncidence and mortality data for 45 notifiable infectious diseases were extracted from a WChinese public health science data centre from 2004 to 2013, which covers 31 provinces in mainland China. We estimated the annual percentage change in incidence of each infectious disease using joinpoint regression.
findingsBetween January, 2004, and December, 2013, 54 984 661 cases of 45 infectious diseases were reported (average yearly incidence 417·98 per 100 000). The infectious diseases with the highest yearly incidence were hand, foot, and mouth disease (114·48 per 100 000), hepatitis B (81·57 per 100 000), and tuberculosis (80·33 per 100 000). 132 681 deaths were reported among the 54 984 661 cases (average yearly mortality 1·01 deaths per 100 000; average case fatality 2·4 per 1000). Overall yearly incidence of infectious disease was higher among males than females and was highest among children younger than 10 years. Overall yearly mortality was higher among males than females older than 20 years and highest among individuals older than 80 years. Average yearly incidence rose from 300·54 per 100 000 in 2004 to 483·63 per 100 000 in 2013 (annual percentage change 5·9%); hydatid disease (echinococcosis), hepatitis C, and syphilis showed the fastest growth. The overall increasing trend changed after 2009, and the annual percentage change in incidence of infectious disease in 2009-13 (2·3%) was significantly lower than in 2004-08 (6·2%).
interpretationAlthough the overall incidence of infectious diseases was increasing from 2004, the rate levelled off after 2009. Effective prevention and control strategies are needed for diseases with the highest incidence-including hand, foot, and mouth disease, hepatitis B, and tuberculosis-and those with the fastest rates of increase (including hydatid disease, hepatitis C, and syphilis).
fundingChinese Ministry of Science and Technology, National Natural Science Foundation (China).
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