ArticlePLoS neglected tropical diseases2022
Epidemiological characteristics and spatiotemporal patterns of scrub typhus in Fujian province during 2012-2020.
Article in PLoS neglected tropical diseases, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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13 citing papers in PubMed, 17 citations in OpenAlex.
- Case Report: An imported severe case of paediatric scrub typhus with Karp B subgenotype in non-endemic Northern China, Beijing.Frontiers in pediatrics · 2026Article
- Analysis of the Spatiotemporal Distribution and Evolutionary Trends of Scrub Typhus in Jiangsu Province from 2006 to 2023.Journal of epidemiology and global health · 2025Article
- Spatiotemporal evolution and impacts of environment on scrub typhus in northern China, 2006-2019.Journal of global health · 2025Article
- Epidemiological characteristics and influencing factors of scrub typhus in Jiangxi Province.Parasites & vectors · 2025Article
- Epidemiological Characteristics and Spatiotemporal Cluster Analysis of Scrub Typhus - China, 2006-2023.China CDC weekly · 2025Article
- Clinico-epidemiological and immunological characteristics of rickettsioses in a Sri Lankan patient cohort 2018-2023.BMC infectious diseases · 2025Article
- Epidemiology and spatiotemporal analysis of acute hemorrhagic conjunctivitis in Zhejiang province, China (2004-2023).Frontiers in public health · 2025Article
- Estimation of scrub typhus incidence and spatiotemporal multicomponent characteristics from 2016 to 2023 in Zhejiang Province, China.Frontiers in public health · 2024Article
- Spatiotemporal epidemiology and risk factors of scrub typhus in Hainan Province, China, 2011-2020.One health (Amsterdam, Netherlands) · 2023Article
- Epidemiological and clinical characteristics of scrub typhus in northern Fujian, China, from 2015 to 2019.BMC infectious diseases · 2023Article
- Spatio-temporal pattern, matching level and prediction of ageing and medical resources in China.BMC public health · 2023Article
- Molecular Detection of Multiple Genotypes ofTropical medicine and infectious disease · 2023Article
- Using ecological niche modeling to predict the potential distribution of scrub typhus in Fujian Province, China.Parasites & vectors · 2023Article
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Authors and funding
12 authors at 5 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundScrub typhus has become a serious public health concern in the Asia-Pacific region including China. There were new natural foci continuously recognized and dramatically increased reported cases in mainland China. However, the epidemiological characteristics and spatiotemporal patterns of scrub typhus in Fujian province have yet to be investigated.
objectiveThis study proposes to explore demographic characteristics and spatiotemporal dynamics of scrub typhus cases in Fujian province, and to detect high-risk regions between January 2012 and December 2020 at county/district scale and thereby help in devising public health strategies to improve scrub typhus prevention and control measures.
methodMonthly cases of scrub typhus reported at the county level in Fujian province during 2012-2020 were collected from the National Notifiable Disease Surveillance System. Time-series analyses, spatial autocorrelation analyses and space-time scan statistics were applied to identify and visualize the spatiotemporal patterns of scrub typhus cases in Fujian province. The demographic differences of scrub typhus cases from high-risk and low-risk counties in Fujian province were also compared.
resultsA total of 11,859 scrub typhus cases reported in 87 counties from Fujian province were analyzed and the incidence showed an increasing trend from 2012 (2.31 per 100,000) to 2020 (3.20 per 100,000) with a peak in 2018 (4.59 per 100,000). There existed two seasonal peaks in June-July and September-October every year in Fujian province. A significant positive spatial autocorrelation of scrub typhus incidence in Fujian province was observed with Moran's I values ranging from 0.258 to 0.471 (P<0.001). Several distinct spatiotemporal clusters mainly concentrated in north and southern parts of Fujian province. Compared to low-risk regions, a greater proportion of cases were female, farmer, and older residents in high-risk counties.
conclusionsThese results demonstrate a clear spatiotemporal heterogeneity of scrub typhus cases in Fujian province, and provide the evidence in directing future researches on risk factors and effectively assist local health authorities in the refinement of public health interventions against scrub typhus transmission in the high risk regions.
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