Evidence map›Paper›PMID 41286630›Full record

ArticleBMC infectious diseases2025

The ecological factors contributing to the chikungunya outbreak in Ruili, a border city in Yunnan Province, China.

Yu-Feng Yang, Xin-Lou Li, Ting-Song Hu, Xiao-Xiong Yin, Qiang Xu, Yao Tian, Yong-Hua Liu, Ping Li, Si-Yu Chen, Zhao-Lan Yang and 6 more

Abstract read
In one paragraph

Article in BMC infectious diseases, 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
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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

16 authors.

Yu-Feng Yang *Department of Epidemiology and Health Statistics, School of Public Health, Anhui Medical University, Hefei, 230032, P. R. China.
Xin-Lou Li *Department of Medical Research, Key Laboratory of Environmental Sense Organ Stress and Health of the Ministry of Ecology and Environmental of the People's Republic of China, The Ninth Medical Center, Chinese PLA General Hospital, Beijing, P. R. China.
Ting-Song Hu *Center for Disease Control and Prevention of Southern Theater Command, Guangzhou, P. R. China.
Xiao-Xiong Yin *Ruili Center for Disease Control and Prevention, Ruili, P. R. China.
Qiang XuState Key Laboratory of Pathogen and Biosecurity, Academy of Military Medical Science, Beijing, 100071, P. R. China.
Yao TianState Key Laboratory of Pathogen and Biosecurity, Academy of Military Medical Science, Beijing, 100071, P. R. China.
Yong-Hua LiuRuili Center for Disease Control and Prevention, Ruili, P. R. China.
Ping LiRuili Center for Disease Control and Prevention, Ruili, P. R. China.
Si-Yu ChenRuili Center for Disease Control and Prevention, Ruili, P. R. China.
Zhao-Lan YangRuili Center for Disease Control and Prevention, Ruili, P. R. China.
Hai-Feng PanDepartment of Epidemiology and Health Statistics, School of Public Health, Anhui Medical University, Hefei, 230032, P. R. China.
Chen-Long LvState Key Laboratory of Pathogen and Biosecurity, Academy of Military Medical Science, Beijing, 100071, P. R. China.
Guo-Lin WangState Key Laboratory of Pathogen and Biosecurity, Academy of Military Medical Science, Beijing, 100071, P. R. China.
Fu-Qiang ZhangCenter for Disease Control and Prevention of Southern Theater Command, Guangzhou, P. R. China. zfq1968@aliyun.com.
Wei LiuDepartment of Epidemiology and Health Statistics, School of Public Health, Anhui Medical University, Hefei, 230032, P. R. China. liuwei@bmi.ac.cn.
Li-Qun FangDepartment of Epidemiology and Health Statistics, School of Public Health, Anhui Medical University, Hefei, 230032, P. R. China. fang_lq@163.com.

Funding

National Key Research and Development Program of China 2023YFC2605603
6 · The paper itself

Abstract

backgroundChikungunya virus (CHIKV), an arthropod-borne pathogen, has caused recurrent epidemics in tropical and subtropical regions, as well as sporadic outbreaks in certain temperate areas, posing significant public health challenges. The globalization-driven increase in international tourism and trade has facilitated the spread of the virus, leading to several outbreak events in China triggered by imported cases, including the 2019 outbreak in Ruili City, Yunnan Province.

methodsThis study conducts a quantitative analysis of the spatiotemporal patterns of outbreak in Ruili City and investigates the impact of ecological factors on the occurrence of local chikungunya cases and the extent of its autochthonous transmission, using panel logistic regression and Poisson regression models, respectively.

resultsThis outbreak began on September 20, 2019, and lasted for approximately twelve weeks, during which a total of 139 local infections and 31 imported infections were reported. The peak incidence occurred in the third week of the outbreak, after which a gradual decline was observed. Most cases were concentrated in five specific townships located in close proximity to the Jiegao Port. Modeling analysis revealed that the presence of imported cases, population density, and the percentage coverage of grassland were the most significant factors influencing autochthonous transmission of CHIKV, significantly influencing both the occurrence of local chikungunya cases and the extent of autochthonous transmission. Furthermore, the occurrence of local cases was positively associated with the presence of local cases reported in the previous week and precipitation levels in the week before last.

conclusionsOur findings suggest that autochthonous transmission of chikungunya fever following case importation is significantly associated with imported case, high population density, and areas with great grassland coverage. A comprehensive understanding of the factors facilitating autochthonous transmission can enhance future surveillance efforts, environmental management strategies, and disease control measures for chikungunya fever.

Indexed as

Chikungunya FeverDisease OutbreaksAdolescentAdultAnimalsChikungunya virusChinaCitiesFemaleHumansIncidenceMaleMiddle AgedSpatio-Temporal AnalysisChikungunya feverChikungunya virusEcological analysisEpidemiology

Identifiers

PMID41286630
PMCPMC12642045

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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.