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- Title
Epidemiology of Human Anthrax in China, 1955-2014.
- Authors
Yu Li; Wenwu Yin; Hugh-Jones, Martin; Liping Wang; Di Mu; Xiang Ren; Lingjia Zeng; Qiulan Chen; Wei Li; Jianchun Wei; Shengjie Lai; Hang Zhou; Hongjie Yu; Li, Yu; Yin, Wenwu; Wang, Liping; Mu, Di; Ren, Xiang; Zeng, Lingjia; Chen, Qiulan
- Abstract
Using national surveillance data for 120,111 human anthrax cases recorded during 1955-2014, we analyzed the temporal, seasonal, geographic, and demographic distribution of this disease in China. After 1978, incidence decreased until 2013, when it reached a low of 0.014 cases/100,000 population. The case-fatality rate, cumulatively 3.6% during the study period, has also decreased since 1990. Cases occurred throughout the year, peaking in August. Geographic distribution decreased overall from west to east, but the cumulative number of affected counties increased during 2005-2014. The disease has shifted from industrial to agricultural workers; 86.7% of cases occurred in farmers and herdsmen. Most (97.7%) reported cases were the cutaneous form. Although progress has been made in reducing incidence, this study highlights areas that need improvement. Adequate laboratory diagnosis is lacking; only 7.6% of cases received laboratory confirmation. Geographic expansion of the disease indicates that livestock control programs will be essential in eradicating anthrax.
- Subjects
CHINA; ANTHRAX; BACILLACEAE diseases; ANTHRAX toxin; EPIDEMIOLOGY; DISEASE prevalence; PUBLIC health; ANTHRAX diagnosis; ANIMAL experimentation; BACILLUS (Bacteria); COMPARATIVE studies; EPIDEMICS; RESEARCH methodology; MEDICAL cooperation; RESEARCH; RURAL population; CITY dwellers; ZOONOSES; EVALUATION research; DISEASE incidence; PHYSIOLOGY; DIAGNOSIS
- Publication
Emerging Infectious Diseases, 2017, Vol 23, Issue 1, p14
- ISSN
1080-6040
- Publication type
journal article
- DOI
10.3201/eid2301.150947