Evidence map›Paper›PMID 40226527›Full record

ArticleChina CDC weekly2025

The Spatiotemporal Epidemiology and Influencing Factor Analysis of Leptospirosis - Anhui Province, China, 2004-2023.

Yueran Lian, Haiyan Qiu, Haijian Zhou, Dongxue Li, Qing Li, Xinmiao Wu, Zengliang Wang, Zhijie Zhang, Cuicai Zhang, Biao Kan

Abstract read
In one paragraph

Article in China CDC weekly, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Review
  2. Article
  3. Seroprevalence and Molecular Epidemiology ofTransboundary and emerging diseases · 2025
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Yueran LianSchool of Public Health, Shandong University, Jinan City, Shandong Province, China.
Haiyan QiuNational Key Laboratory of Intelligent Tracking and Forecasting for Infectious Diseases, National Institute for Communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, China.
Haijian ZhouNational Key Laboratory of Intelligent Tracking and Forecasting for Infectious Diseases, National Institute for Communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, China.
Dongxue LiNational Key Laboratory of Intelligent Tracking and Forecasting for Infectious Diseases, National Institute for Communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, China.
Qing LiAnhui Provincial Center for Disease Control and Prevention, Hefei City, Anhui Province, China.
Xinmiao WuNational Key Laboratory of Intelligent Tracking and Forecasting for Infectious Diseases, National Institute for Communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, China.
Zengliang WangSchool of Public Health, Shandong University, Jinan City, Shandong Province, China.
Zhijie ZhangDepartment of Epidemiology and Health Statistics, Fudan University, Shanghai, China.
Cuicai ZhangNational Key Laboratory of Intelligent Tracking and Forecasting for Infectious Diseases, National Institute for Communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, China.
Biao KanSchool of Public Health, Shandong University, Jinan City, Shandong Province, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Leptospirosis has historically been a severe public health concern across multiple Chinese provinces. Despite an overall decline in incidence in recent years, the disease continues to exhibit fluctuations and occasionally triggers localized outbreaks. This study aimed to characterize the demographic and spatiotemporal patterns of leptospirosis in Anhui Province - a historically significant epidemic region - from 2004 to 2023, to investigate potential climatic and environmental risk factors, and to identify critical targets for disease prevention and control. Methods: Spatiotemporal cluster analysis was conducted using SaTScan software. Spearman correlation analysis was performed using SPSS to examine the short-term lagged effects of rainfall, temperature, and normalized difference vegetation index (NDVI) on leptospirosis incidence in the high-risk counties of Huaiyuan and Jingde. Results: A total of 458 leptospirosis cases were reported across Anhui Province during the 20-year study period. Middle-aged individuals (40-59 years), males, and agricultural workers constituted the primary high-risk populations. Spatiotemporal scanning identified nine adjacent hotspots in southern Anhui during 2004-2012, with a subsequent shift to Huaiyuan County in the northern Huaihe River Basin during 2016-2021. Significant associations were observed between leptospirosis cases and temperature, rainfall, and NDVI in both Huaiyuan and Jingde counties. Conclusion: This study revealed significant spatial heterogeneity, distinct spatiotemporal clustering patterns, and potential climatic and environmental risk factors for leptospirosis in Anhui Province during 2004-2023. These findings provide critical information regarding target regions, high-risk populations, and climatic and environmental factors to inform early warning systems and enhance prevention and control strategies for leptospirosis.

Indexed as

Anhui ProvinceInfluencing FactorLeptospirosisSpatiotemporal Epidemiology

Identifiers

PMID40226527
PMCPMC11986448

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.