About: Epidemiological shift and geographical heterogeneity in the burden of leptospirosis in China

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About: Epidemiological shift and geographical heterogeneity in the burden of leptospirosis in China Goto Sponge NotDistinct Permalink

An Entity of Type : schema:ScholarlyArticle, within Data Space : wasabi.inria.fr associated with source document(s)

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type	Academic Article research paper schema:ScholarlyArticle
isDefinedBy	Covid-on-the-Web dataset
has title	Epidemiological shift and geographical heterogeneity in the burden of leptospirosis in China
Creator	Hu, Wenbiao Ding, Fan Costa, Federico Guo, Danhuai Yin, Wen-Wu Zhang, Wen-Yi Ko, Albert Soares Magalhães, Ricardo Dhewantara, Pandji Mamun, Abdullah
Source	Medline; PMC
abstract	BACKGROUND: Leptospirosis morbidity and mortality rates in China have decreased since the 2000s. Further analyses of the spatiotemporal and demographic changes occurring in the last decade and its implication on estimates of disease burden are required to inform intervention strategies. In this study, we quantified the epidemiological shift and geographical heterogeneity in the burden of leptospirosis during 2005–2015 in China. METHODS: We used reported leptospirosis case data from 1st January 2005 to 31st of December 2015 that routinely collected by the China Information System for Disease Control and Prevention (CISDCP) to analyze the epidemiological trend and estimate the burden in terms of disability-adjusted life-years (DALYs) over space, time, and demographical groups. RESULTS: A total of 7763 cases were reported during 2005–2015. Of which, 2403 (31%) cases were the laboratory-confirmed case. Since 2005, the notified incidence rate was gradually decreased (P < 0.05) and it was relatively stable during 2011–2015 (P > 0.05). During 2005–2015, we estimated a total of 10 313 DALYs were lost due to leptospirosis comprising a total of 1804 years-lived with disability (YLDs) and 8509 years-life lost (YLLs). Males had the highest burden of disease (7149 DALYs) compared to females (3164 DALYs). The highest burden estimate was attributed to younger individuals aged 10–19 years who lived in southern provinces of China. During 2005–2015, this age group contributed to approximately 3078 DALYs corresponding to 30% of the total DALYs lost in China. Yet, our analysis indicated a declining trend in burden estimates (P < 0.001) since 2005 and remained relatively low during 2011–2015. Low burden estimates have been identified in the endemic regions where infections principally distributed. Most of the changes in DALY estimates were driven by changes in YLLs. CONCLUSIONS: In the last 11-years, the burden estimates of leptospirosis have shown a declining trend across the country; however, leptospirosis should not be neglected as it remains an important zoonotic disease and potentially affecting the young and productive population in economically less-developed provinces in southern of China. In addition, while in the last five years the incidence has been reported at very low-level, this might not reflect the true incidence of leptospirosis. Strengthened surveillance in the endemic regions is, hence, substantially required to capture the actual prevalence to better control leptospirosis in China. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1186/s40249-018-0435-2) contains supplementary material, which is available to authorized users.
has issue date	2018-05-18(xsd:dateTime)
bibo:doi	10.1186/s40249-018-0435-2
bibo:pmid	29866175
has license	cc-by
sha1sum (hex)	57f7587c21f25f1d1542599749ad28af764cf8e6
schema:url	https://doi.org/10.1186/s40249-018-0435-2
resource representing a document's title	Epidemiological shift and geographical heterogeneity in the burden of leptospirosis in China
has PubMed Central identifier	PMC5985562
has PubMed identifier	29866175
schema:publication	Infect Dis Poverty
resource representing a document's body	covid:57f7587c21f25f1d1542599749ad28af764cf8e6#body_text
is schema:about of	named entity 'disease burden' named entity 'demographic' named entity 'HETEROGENEITY' named entity 'EPIDEMIOLOGICAL' named entity 'DECREASED' named entity 'DISEASE' named entity 'BURDEN' named entity 'GEOGRAPHICAL' named entity 'SHIFT' named entity 'LEPTOSPIROSIS ' named entity 'CHINA' named entity 'MORTALITY RATES' named entity 'HAVE' named entity 'TO INFORM' named entity 'INTERVENTION STRATEGIES' named entity 'SHIFT' named entity 'BACKGROUND' named entity '2015' named entity 'STUDY' named entity 'EPIDEMIOLOGICAL' named entity 'DECADE' named entity 'LEPTOSPIROSIS ' named entity 'MORBIDITY AND MORTALITY' named entity 'HETEROGENEITY' named entity 'ESTIMATES' named entity 'CHANGES' named entity 'BURDEN' named entity 'REQUIRED' named entity 'DEMOGRAPHIC' named entity 'CHINA' named entity 'ITS' named entity 'GEOGRAPHICAL' covid:arg/57f7587c21f25f1d1542599749ad28af764cf8e6 named entity 'Leptospirosis' named entity 'morbidity' named entity '2005' named entity 'heterogeneity' named entity 'Leptospirosis' named entity 'China' named entity 'mortality rates' named entity 'China' named entity 'heterogeneity' named entity 'quantified' named entity 'pathogen' named entity 'faeces' named entity 'livestock' named entity 'epidemiological' named entity 'Mongolia' named entity 'infection' named entity 'United Nations' named entity 'leptospirosis' named entity 'Infectious Diseases' named entity 'standard life' named entity 'Guizhou' named entity 'Grain for Green' named entity 'leptospirosis' named entity 'Leptospirosis' named entity 'leptospirosis' named entity 'Guangxi' named entity 'leptospirosis' named entity 'Leptospirosis' named entity 'zoonotic disease' named entity 'leptospirosis' named entity 'Leptospira' named entity 'DALYs' named entity 'DALYs' named entity 'leptospirosis' named entity 'independent variable' named entity 'Guangxi' named entity 'endemic areas' named entity 'livestock husbandry' named entity 'P-value'

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