ArticleJMIR public health and surveillance2024
Epidemic Characteristics and Meteorological Risk Factors of Hemorrhagic Fever With Renal Syndrome in 151 Cities in China From 2015 to 2021: Retrospective Analysis.
Article in JMIR public health and surveillance, 2024. 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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Who cites it
13 citing papers in PubMed.
- Spatial-temporal distribution characteristics of haemorrhagic fever with renal syndrome (HFRS) in 31 provinces and municipalities of P.R. China and multi-factorial prediction of incidence.PLoS neglected tropical diseases · 2026Article
- The effects of meteorological factors on hemorrhagic fever with renal syndrome in Yichun, China: a major Apodemus-type endemic city.Scientific reports · 2026Article
- Urbanization influences hemorrhagic fever with renal syndrome transmission: 34-year evidence from China's national surveillance.Infectious Disease Modelling · 2026Article
- Regional heterogeneity of spatial-temporal characteristics and meteorological-environmental driving factors of hemorrhagic fever with renal syndrome in China.One health (Amsterdam, Netherlands) · 2026Article
- Infectome Landscape of Rodents and Shrews in Guangdong Province Reveals Diverse Pathogens with Zoonotic Potential in Wildlife.Viruses · 2026Article
- Infectome analysis of small mammals in Southern China reveals pathogen ecology and emerging risks.Nature communications · 2025Article
- Spatio-temporal clustering and meteorological factors influencing HFRS incidence in mainland China, 2004-2021.Epidemiology and infection · 2025Article
- Non-negligible impacts of urbanization on spatiotemporal variations of infectious disease: a case study of hemorrhagic fever with renal syndrome epidemics in China.Infectious diseases of poverty · 2025Article
- Epidemiological Characteristics of Hemorrhagic Fever with Renal Syndrome in Longyou County, China.Viruses · 2025Article
- Risk of hemorrhagic fever with renal syndrome associated with meteorological factors in diverse epidemic regions: a nationwide longitudinal study in China.Infectious diseases of poverty · 2025Article
- Meteorological drivers of hemorrhagic fever with renal syndrome in China's Jiaodong Peninsula: an ecological time-series study from 2020 to 2024.Frontiers in public health · 2025Article
- Asymmetric association between meteorological factors and human infections with hemorrhagic fever with renal syndrome: A 16-year ecological trend study in Shaanxi, China.One health (Amsterdam, Netherlands) · 2024Article
- Long- and Short-Run Asymmetric Effects of Meteorological Parameters on Hemorrhagic Fever with Renal Syndrome in Heilongjiang: A Population-Based Retrospective Study.Transboundary and emerging diseases · 2024Article
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12 authors.
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Abstract
backgroundHemorrhagic fever with renal syndrome (HFRS) continues to pose a significant public health threat to the population in China. Previous epidemiological evidence indicates that HFRS is climate sensitive and influenced by meteorological factors. However, past studies either focused on too-narrow geographical regions or investigated time periods that were too early. There is an urgent need for a comprehensive analysis to interpret the epidemiological patterns of meteorological factors affecting the incidence of HFRS across diverse climate zones.
objectiveIn this study, we aimed to describe the overall epidemic characteristics of HFRS and explore the linkage between monthly HFRS cases and meteorological factors at different climate levels in China.
methodsThe reported HFRS cases and meteorological data were collected from 151 cities in China during the period from 2015 to 2021. We conducted a 3-stage analysis, adopting a distributed lag nonlinear model and a generalized additive model to estimate the interactions and marginal effects of meteorological factors on HFRS.
resultsThis study included a total of 63,180 cases of HFRS; the epidemic trends showed seasonal fluctuations, with patterns varying across different climate zones. Temperature had the greatest impact on the incidence of HFRS, with the maximum hysteresis effects being at 1 month (-19 ºC; relative risk [RR] 1.64, 95% CI 1.24-2.15) in the midtemperate zone, 0 months (28 ºC; RR 3.15, 95% CI 2.13-4.65) in the warm-temperate zone, and 0 months (4 ºC; RR 1.72, 95% CI 1.31-2.25) in the subtropical zone. Interactions were discovered between the average temperature, relative humidity, and precipitation in different temperature zones. Moreover, the influence of precipitation and relative humidity on the incidence of HFRS had different characteristics under different temperature layers. The hysteresis effect of meteorological factors did not end after an epidemic season, but gradually weakened in the following 1 or 2 seasons.
conclusionsWeather variability, especially low temperature, plays an important role in epidemics of HFRS in China. A long hysteresis effect indicates the necessity of continuous intervention following an HFRS epidemic. This finding can help public health departments guide the prevention and control of HFRS and develop strategies to cope with the impacts of climate change in specific regions.
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