Epidemiological characteristics of human psittacosis in Guangzhou, China, January 2021 to June 2024.

IF 3 3区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Frontiers in Public Health Pub Date : 2025-03-25 eCollection Date: 2025-01-01 DOI:10.3389/fpubh.2025.1526990
Yunjing Wen, Wei Zhang, Yongguang Li, Xinlong Liao, Jianxiong Xu, Ruonan Zhen, Pengzhe Qin
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引用次数: 0

Abstract

Background: Psittacosis is a global and underappreciated zoonosis, with increasing reported cases in many countries. There have been several outbreaks and even deaths of psittacosis reported in China. Understanding its epidemiological characteristics and dimensions is crucial for formulating precise prevention and control strategies. This study aimed to analyze the epidemiological characteristics of human psittacosis in Guangzhou, China.

Methods: The demographic characteristics, clinical manifestations, temporal patterns, geographic distribution and potential exposures of psittacosis in Guangzhou were analyzed based on the surveillance data and epidemiological investigation conducted between January 2021 and June 2024. Seasonal and trend decomposition using LOESS was applied to decompose the number of psittacosis cases into trend, seasonal and remainder component.

Results: A total of 148 cases were reported, with a significant increase in the number of psittacosis cases over the study period. Most of cases were sporadic and detected by metagenomic next-generation sequencing (mNGS). Psittacosis was predominant males aged 40-79 years. Fever and pneumonia were the most commonly observed clinical manifestations. A seasonal trend was observed in the number of psittacosis cases with a high prevalence of cases in December and March. A total of 108 local cases (87%) occurred in rural regions. Among local cases, 67.7% reported a history of contact with birds or poultry, and 17.7% had been exposed to a related environment. The suspected source of infection differed between urban and rural areas, with parrots being the primary source in urban areas and poultry in rural areas.

Conclusion: Increasing clinicians' awareness, enhancing epidemiological surveillance, paying close attention to the epidemic in rural areas, and implementing measures against avian influenza, will be conducive to preventing and controlling psittacosis.

2021年1月- 2024年6月广州市人鹦鹉热流行病学特征分析
背景:鹦鹉热是一种全球性且未得到充分重视的人畜共患病,在许多国家报告的病例不断增加。在中国已经有几起鹦鹉热爆发甚至死亡的报道。了解其流行病学特征和层面对于制定精确的预防和控制战略至关重要。本研究旨在分析广州地区人类鹦鹉热的流行病学特征。方法:根据广州市2021年1月至2024年6月的监测资料和流行病学调查,分析广州市鹦鹉热的人口学特征、临床表现、时间分布、地理分布和潜在暴露因素。采用黄土季节和趋势分解法将鹦鹉热病例数分解为趋势、季节和剩余部分。结果:共报告148例,研究期间鹦鹉热病例数显著增加。大多数病例是散发的,通过新一代宏基因组测序(mNGS)检测到。鹦鹉热以男性为主,年龄40 ~ 79岁 岁。发热和肺炎是最常见的临床表现。鹦鹉热病例数呈季节性趋势,12月和3月为高发季节。108例(87%)发生在农村地区。67.7%报告有禽类接触史,17.7%报告有相关环境暴露史。城市和农村地区的疑似传染源不同,城市地区的主要传染源是鹦鹉,农村地区的主要传染源是家禽。结论:提高临床医生的认识,加强流行病学监测,密切关注农村地区的疫情,实施禽流感防控措施,有利于预防和控制鹦鹉热。
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来源期刊
Frontiers in Public Health
Frontiers in Public Health Medicine-Public Health, Environmental and Occupational Health
CiteScore
4.80
自引率
7.70%
发文量
4469
审稿时长
14 weeks
期刊介绍: Frontiers in Public Health is a multidisciplinary open-access journal which publishes rigorously peer-reviewed research and is at the forefront of disseminating and communicating scientific knowledge and impactful discoveries to researchers, academics, clinicians, policy makers and the public worldwide. The journal aims at overcoming current fragmentation in research and publication, promoting consistency in pursuing relevant scientific themes, and supporting finding dissemination and translation into practice. Frontiers in Public Health is organized into Specialty Sections that cover different areas of research in the field. Please refer to the author guidelines for details on article types and the submission process.
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