Human and spatial-temporal clustering analysis of human brucellosis in mainland China from 2012 to 2016
Background: Brucellosis is a major public health issue in China, whose epidemiology has not been well studied. This study aims to better understand the epidemiology of brucellosis in mainland China, by investigating the human, temporal and spatial distribution and clustering characteristics of the disease.
Methods: Human brucellosis data from mainland China between 2012 and 2016 were obtained from the China Information System for Disease Control and Prevention. The ArcGIS10.3 (ESRI, Redlands) and SaTScan software were used to identify potential changes in the spatial and temporal distribution of human brucellosis in mainland China during the study period.
Results: A total of 244,348 human brucellosis cases were reported during the study period of 2012-2016. The average incidence of human brucellosis was higher in the 40-65 age group. The temporal clustering analysis showed that the high incidence of brucellosis occured between March and July. The spatial clustering analysis showed that the location of brucellosis clustering in mainland China remained relatively fixed, mainly concentrated in most parts of northern China. The results of the spatial-temporal clustering analysis showed that Heilongjiang represents a primary clustering area, and the Tibet, Shanxi and Hubei provinces represent three secondary clustering areas.
Conclusions: Human brucellosis remains a widespread challenge, particularly in northern China. The clustering analysis highlights potential high-risk human groups, time frames and areas, which may require special plans and resources to monitor and control the disease.
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Posted 14 Aug, 2020
On 13 Oct, 2020
On 09 Sep, 2020
On 12 Aug, 2020
On 11 Aug, 2020
On 11 Aug, 2020
On 30 Jul, 2020
Received 27 Jul, 2020
On 22 Jul, 2020
Invitations sent on 17 Jul, 2020
On 14 Jul, 2020
On 13 Jul, 2020
On 13 Jul, 2020
On 09 Jun, 2020
Received 07 Jun, 2020
On 27 May, 2020
Received 16 Apr, 2020
On 01 Apr, 2020
Invitations sent on 29 Mar, 2020
On 25 Mar, 2020
On 24 Mar, 2020
On 24 Mar, 2020
On 23 Mar, 2020
Human and spatial-temporal clustering analysis of human brucellosis in mainland China from 2012 to 2016
Posted 14 Aug, 2020
On 13 Oct, 2020
On 09 Sep, 2020
On 12 Aug, 2020
On 11 Aug, 2020
On 11 Aug, 2020
On 30 Jul, 2020
Received 27 Jul, 2020
On 22 Jul, 2020
Invitations sent on 17 Jul, 2020
On 14 Jul, 2020
On 13 Jul, 2020
On 13 Jul, 2020
On 09 Jun, 2020
Received 07 Jun, 2020
On 27 May, 2020
Received 16 Apr, 2020
On 01 Apr, 2020
Invitations sent on 29 Mar, 2020
On 25 Mar, 2020
On 24 Mar, 2020
On 24 Mar, 2020
On 23 Mar, 2020
Background: Brucellosis is a major public health issue in China, whose epidemiology has not been well studied. This study aims to better understand the epidemiology of brucellosis in mainland China, by investigating the human, temporal and spatial distribution and clustering characteristics of the disease.
Methods: Human brucellosis data from mainland China between 2012 and 2016 were obtained from the China Information System for Disease Control and Prevention. The ArcGIS10.3 (ESRI, Redlands) and SaTScan software were used to identify potential changes in the spatial and temporal distribution of human brucellosis in mainland China during the study period.
Results: A total of 244,348 human brucellosis cases were reported during the study period of 2012-2016. The average incidence of human brucellosis was higher in the 40-65 age group. The temporal clustering analysis showed that the high incidence of brucellosis occured between March and July. The spatial clustering analysis showed that the location of brucellosis clustering in mainland China remained relatively fixed, mainly concentrated in most parts of northern China. The results of the spatial-temporal clustering analysis showed that Heilongjiang represents a primary clustering area, and the Tibet, Shanxi and Hubei provinces represent three secondary clustering areas.
Conclusions: Human brucellosis remains a widespread challenge, particularly in northern China. The clustering analysis highlights potential high-risk human groups, time frames and areas, which may require special plans and resources to monitor and control the disease.
Figure 1
Figure 2
Figure 3
Figure 4
Figure 5