中国疾病预防控制中心周报Pub Date : 2024-10-25DOI: 10.46234/ccdcw2024.226
Zifang Zhou, Lijun Wang, Maigeng Zhou, Peng Yin
{"title":"Chronic Obstructive Pulmonary Disease-Associated Mortality - China, 2014-2021.","authors":"Zifang Zhou, Lijun Wang, Maigeng Zhou, Peng Yin","doi":"10.46234/ccdcw2024.226","DOIUrl":"10.46234/ccdcw2024.226","url":null,"abstract":"<p><strong>Introduction: </strong>China faces a growing burden of chronic obstructive pulmonary disease (COPD). Previous mortality estimations were primarily based on the underlying cause of death. This study analyzed COPD-associated death and its comorbidities using all COPD cases listed on the chain of events on death certificates.</p><p><strong>Methods: </strong>A retrospective analysis of the National Mortality Surveillance System (NMSS) was conducted to estimate COPD-associated mortality from 2014 to 2021. Age-standardized mortality rates (ASMRs) were calculated stratified by sex, region, and residence. Joinpoint regression was used to estimate the average annual percentage change (AAPC) during the study period.</p><p><strong>Results: </strong>From 2014 to 2021, the ASMR of COPD decreased from 91.85 to 45.90 per 100,000 population. Significant but uneven decreases in COPD mortality were observed across gender [females: AAPC: -11.2%, 95% confidence interval (<i>CI</i>): -11.9 to -10.4%; males: AAPC: -8.0%, 95% <i>CI</i>: -9.2 to -6.8%], regions (eastern: AAPC: -10.7%, 95% <i>CI</i>: -11.5 to -9.9%; central: AAPC: -9.9%, 95% <i>CI</i>: -10.9 to -8.9%; western: AAPC: -7.7%, 95% <i>CI</i>: -10.6 to -4.7%), and residential areas (urban: AAPC: -10.9%, 95% <i>CI</i>: -12.3 to -9.5%; rural: AAPC: -8.3%, 95% <i>CI</i>: -9.1 to -7.4%). Other than COPD, cardiovascular diseases and respiratory conditions were the major underlying causes of death in COPD-associated mortality.</p><p><strong>Conclusions: </strong>COPD is a significant comorbidity of other disorders in China. Although COPD-associated mortality substantially decreased from 2014 to 2021, the burden remained high in underdeveloped regions.</p>","PeriodicalId":69039,"journal":{"name":"中国疾病预防控制中心周报","volume":"6 43","pages":"1105-1110"},"PeriodicalIF":4.3,"publicationDate":"2024-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11534576/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142592376","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
中国疾病预防控制中心周报Pub Date : 2024-10-25DOI: 10.46234/ccdcw2024.227
Wenjing Wang, Shu Cong, Jing Fan, Ning Wang, Qian Wang, Liwen Fang
{"title":"Rate and Change in Household Solid Fuels Usage Among Residents Aged 40 and Older - China, from 2014-2015 to 2019-2020.","authors":"Wenjing Wang, Shu Cong, Jing Fan, Ning Wang, Qian Wang, Liwen Fang","doi":"10.46234/ccdcw2024.227","DOIUrl":"10.46234/ccdcw2024.227","url":null,"abstract":"<p><strong>Introduction: </strong>Solid fuel combustion is a significant source of household air pollution and an important risk factor for chronic obstructive pulmonary disease (COPD). This study presents the rates and change in the use of solid fuels for cooking and heating in China.</p><p><strong>Methods: </strong>Based on data from the Chinese Chronic Obstructive Pulmonary Disease Surveillance, the research estimated the rates and change of solid fuels usage for cooking and heating from 2014-2015 to 2019-2020 and the rate of primary cooking solid fuels usage in 2019-2020, and analyzed the association between solid fuels usage and COPD.</p><p><strong>Results: </strong>The rates of solid fuels usage for cooking and heating significantly decreased, dropping from 45.3% to 28.0% and from 33.5% to 23.2%, respectively. Usage rates were higher among rural residents, with 47.2% using it for cooking and 37.7% for heating in 2019-2020. The usage of solid fuels for cooking is associated with increased risk of COPD. Among rural residents, combined usage of biomass and coal for cooking (<i>OR</i>=1.29, 95% <i>CI</i>: 1.12, 1.48) and using coal as primary fuel for cooking (<i>OR</i>=1.18, 95% <i>CI</i>: 1.00, 1.38) are associated with higher risk of COPD. The usage of biomass for cooking is associated with an increased risk of COPD in urban residents (<i>OR</i>=1.17, 95% <i>CI</i>: 1.03, 1.32).</p><p><strong>Conclusions: </strong>The study demonstrates a significant decline in the use of household solid fuels. Nevertheless, high utilization rates persist among individuals in rural settings and those from lower socioeconomic backgrounds. It is of great public health importance to propose targeted fuel substitution measures for various solid fuels in different regions to reduce the risk of COPD.</p>","PeriodicalId":69039,"journal":{"name":"中国疾病预防控制中心周报","volume":"6 43","pages":"1111-1119"},"PeriodicalIF":4.3,"publicationDate":"2024-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11534580/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142592380","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
中国疾病预防控制中心周报Pub Date : 2024-10-25DOI: 10.46234/ccdcw2024.228
Yalei Ke, Xinyi Zhang, Dianjianyi Sun, Pei Pei, Huaidong Du, Yiping Chen, Ling Yang, Xiaoming Yang, Kang Wang, Junshi Chen, Zhengming Chen, Jun Lv, Liming Li, Canqing Yu
{"title":"The Association Between Preserved Ratio Impaired Spirometry and Mortality - 10 CKB Study Areas, China, 2004-2022.","authors":"Yalei Ke, Xinyi Zhang, Dianjianyi Sun, Pei Pei, Huaidong Du, Yiping Chen, Ling Yang, Xiaoming Yang, Kang Wang, Junshi Chen, Zhengming Chen, Jun Lv, Liming Li, Canqing Yu","doi":"10.46234/ccdcw2024.228","DOIUrl":"10.46234/ccdcw2024.228","url":null,"abstract":"<p><strong>What is already known about this topic?: </strong>China has the world's most significant public health and economic burden of chronic respiratory disease. However, the association between preserved ratio impaired spirometry (PRISm) and mortality risk is unknown.</p><p><strong>What is added by this report?: </strong>The PRISm group exhibited a 37% higher risk of all-cause mortality than the normal group, and the risks of death from cardiovascular diseases, neoplasms, respiratory diseases, and infectious and parasitic diseases were also increased in PRISm. Moreover, the presence of respiratory symptoms or disease was associated with an increased risk of mortality in PRISm.</p><p><strong>What are the implications for public health practice?: </strong>It is imperative to enhance public awareness of PRISm and to implement measures to facilitate the regression of PRISm toward normal lung function.</p>","PeriodicalId":69039,"journal":{"name":"中国疾病预防控制中心周报","volume":"6 43","pages":"1120-1125"},"PeriodicalIF":4.3,"publicationDate":"2024-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11534579/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142592384","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
中国疾病预防控制中心周报Pub Date : 2024-10-25DOI: 10.46234/ccdcw2024.230
{"title":"Reported Cases and Deaths of National Notifiable Infectious Diseases - China, August 2024.","authors":"","doi":"10.46234/ccdcw2024.230","DOIUrl":"10.46234/ccdcw2024.230","url":null,"abstract":"","PeriodicalId":69039,"journal":{"name":"中国疾病预防控制中心周报","volume":"6 43","pages":"1132-1133"},"PeriodicalIF":4.3,"publicationDate":"2024-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11534578/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142592382","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
中国疾病预防控制中心周报Pub Date : 2024-10-11DOI: 10.46234/ccdcw2024.220
Huimin Sun, Weihua Hu, Yongyue Wei, Yuantao Hao
{"title":"Drawing on the Development Experiences of Infectious Disease Surveillance Systems Around the World.","authors":"Huimin Sun, Weihua Hu, Yongyue Wei, Yuantao Hao","doi":"10.46234/ccdcw2024.220","DOIUrl":"10.46234/ccdcw2024.220","url":null,"abstract":"<p><p>High-quality infectious disease surveillance systems are foundational to infectious disease prevention and control. Current major infectious disease surveillance systems globally can be categorized as either indicator-based, which are more specific, or event-based, which are more timely. Modern surveillance systems commonly utilize multi-source data, strengthened information sharing, advanced technology, and improved early warning accuracy and sensitivity. International experience may provide valuable insights for China. China's existing infectious disease surveillance systems require urgent enhancements to monitor emerging infectious diseases and improve the integration and learning capabilities of early warning models. Methods such as establishing multi-stage surveillance systems, promoting cross-sectoral and cross-provincial data sharing, applying advanced technologies like artificial intelligence, and cultivating professional talent should be adopted to enhance the development of intelligent and multipoint-triggered infectious disease surveillance systems in China.</p>","PeriodicalId":69039,"journal":{"name":"中国疾病预防控制中心周报","volume":"6 41","pages":"1065-1074"},"PeriodicalIF":4.3,"publicationDate":"2024-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11532533/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142583284","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Impact of COVID-19 Interventions on Respiratory and Intestinal Infectious Disease Notifications - Jiangsu Province, China, 2020-2023.","authors":"Ziying Chen, Xin Liu, Jinxing Guan, Yingying Shi, Wendong Liu, Zhihang Peng, Jianli Hu","doi":"10.46234/ccdcw2024.219","DOIUrl":"10.46234/ccdcw2024.219","url":null,"abstract":"<p><strong>Introduction: </strong>Many measures implemented to control the coronavirus disease 2019 (COVID-19) pandemic have reshaped the epidemic patterns of other infectious diseases. This study estimated the impact of the COVID-19 pandemic on respiratory and intestinal infectious diseases and potential changes following reopening.</p><p><strong>Methods: </strong>The optimal intervention and counterfactual models were selected from the seasonal autoregressive integrated moving average (SARIMA), neural network autoregression (NNAR), and hybrid models based on the minimum mean absolute percentage error (MAPE) in the test set. The relative change rate between the actual notification rate and that predicted by the optimal model was calculated for the entire COVID-19 epidemic prevention period and the \"reopening\" period.</p><p><strong>Results: </strong>Compared with the predicted notification rate based on the counterfactual model, the total relative change rates for the 9 infectious diseases were -44.24%, respiratory infections (-55.41%), and intestinal infections (-26.59%) during 2020-2022. Compared with the predicted notification rate based on the intervention model, the total relative change rates were +247.98%, respiratory infections (+389.59%), and intestinal infections (+50.46%) in 2023. Among them, the relative increases in influenza (+499.98%) and hand-foot-mouth disease (HFMD) (+70.97%) were significant.</p><p><strong>Conclusions: </strong>Measures taken in Jiangsu Province in response to COVID-19 effectively constrained the spread of respiratory and intestinal infectious diseases. Influenza and HFMD rebounded significantly after the lifting of COVID-19 intervention restrictions.</p>","PeriodicalId":69039,"journal":{"name":"中国疾病预防控制中心周报","volume":"6 41","pages":"1059-1064"},"PeriodicalIF":4.3,"publicationDate":"2024-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11532534/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142583542","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
中国疾病预防控制中心周报Pub Date : 2024-10-11DOI: 10.46234/ccdcw2024.218
Chuanqing Xu, Lianjiao Dai, Songbai Guo, Xiaoyu Zhao, Xiaoling Liu
{"title":"Monitoring the Status of Multi-Wave Omicron Variant Outbreaks - 71 Countries, 2021-2023.","authors":"Chuanqing Xu, Lianjiao Dai, Songbai Guo, Xiaoyu Zhao, Xiaoling Liu","doi":"10.46234/ccdcw2024.218","DOIUrl":"10.46234/ccdcw2024.218","url":null,"abstract":"<p><strong>What is already known about this topic?: </strong>Analyzing the characteristics of epidemic development after the emergence of the severe acute respiratory syndrome virus 2 Omicron variants with its subvariants and the impact of income level inequalities on the coronavirus disease 2019 (COVID-19) case-fatality ratio helps to better understand the spread of novel coronavirus infections.</p><p><strong>What is added by this report?: </strong>The median time interval between the first and second waves of Omicron sub-variants was 70 days (interquartile spacing: 43.75-91), and between the second and third waves was 87.5 days (interquartile spacing: 49-119), which obeyed a lognormal distribution. The case-fatality ratio of the first wave was significantly higher than that of the second and third waves. During the initial epidemic period, there was no significant geographic differences in the case-fatality ratio of the first wave, while the case-fatality ratio in countries with high income levels was significantly lower than in countries with other income levels.</p><p><strong>What are the implications for public health practice?: </strong>We still need to pay attention to the COVID-19 pandemic, as inequalities in income levels have an impact on the case-fatality ratio during the early stages of Omicron epidemics. In most countries, strains of the virus are likely to move from low to high population prevalence after 2-4 months.</p>","PeriodicalId":69039,"journal":{"name":"中国疾病预防控制中心周报","volume":"6 41","pages":"1054-1058"},"PeriodicalIF":4.3,"publicationDate":"2024-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11532532/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142583583","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
中国疾病预防控制中心周报Pub Date : 2024-10-11DOI: 10.46234/ccdcw2024.216
Xiulian Shen, Liqiong Zhang, Lining Guo, Jibo He, Weijun Yu
{"title":"Trends and Spatial Pattern Analysis of Typhoid and Paratyphoid Fever Incidence - Yunnan Province, China, 1989-2022.","authors":"Xiulian Shen, Liqiong Zhang, Lining Guo, Jibo He, Weijun Yu","doi":"10.46234/ccdcw2024.216","DOIUrl":"10.46234/ccdcw2024.216","url":null,"abstract":"<p><strong>Introduction: </strong>This study explored the incidence trends and spatial clustering of typhoid and paratyphoid fever (TPF) in Yunnan Province to provide scientific evidence for developing and improving prevention and control strategies.</p><p><strong>Methods: </strong>Temporal trends were investigated by calculating the annual percent change (APC) and average annual percent change (AAPC), along with their 95% confidence intervals (<i>CI</i>s). The spatial clustering of TPF across Yunnan Province was examined using global Moran's I and local indicators of spatial association (LISA) statistics.</p><p><strong>Results: </strong>A total of 206,066 TPF cases were reported in Yunnan Province from 1989 to 2022, with an average annual incidence of 13.98 per 100,000 population and a case fatality rate of 2.5 per 1,000. The greatest number of cases was reported during July and August. The 25-34-year age group had the highest incidence, and farmers were prominently represented. TPF incidence in Yunnan Province showed a significant decrease and spatial clustering. From 2005 to 2022, 13 county-level cities/counties/municipal districts in 5 prefectures (cities) in Yunnan Province were identified as statistically significant H-H spatial clusters of TPF incidence. A total of 24 TPF outbreaks were reported in Yunnan Province from 2005 to 2022.</p><p><strong>Conclusions: </strong>The incidence of TPF in Yunnan Province showed a significant decrease and spatial clustering. Control strategies should focus on high-incidence areas, seasons, and populations to reduce the incidence of TPF.</p>","PeriodicalId":69039,"journal":{"name":"中国疾病预防控制中心周报","volume":"6 41","pages":"1049-1053"},"PeriodicalIF":4.3,"publicationDate":"2024-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11532531/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142580811","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
中国疾病预防控制中心周报Pub Date : 2024-10-11DOI: 10.46234/ccdcw2024.217
Zhuowei Li, Xiaoxia Huang, Aqian Li, Shanshan Du, Guangxue He, Jiandong Li
{"title":"Epidemiological Characteristics of Dengue Fever - China, 2005-2023.","authors":"Zhuowei Li, Xiaoxia Huang, Aqian Li, Shanshan Du, Guangxue He, Jiandong Li","doi":"10.46234/ccdcw2024.217","DOIUrl":"10.46234/ccdcw2024.217","url":null,"abstract":"<p><strong>Introduction: </strong>The global incidence of dengue fever has increased significantly over the past two decades, and China faces a significant upward trend in dengue control challenges.</p><p><strong>Methods: </strong>Data were obtained from China's NNDRS from 2005 to 2023. Joinpoint regression software was used to analyze temporal trends, while SaTScan software was used to analyze spatial, seasonal, and spatiotemporal distributions. ArcGIS software was used to visualize clusters.</p><p><strong>Results: </strong>A total of 117,892 dengue cases were reported from 2005 to 2023, with significant fluctuation in annual reported cases. Dengue was not endemic in China. Autochthonous outbreaks most likely occurred in the southwestern, southeastern coastal, and inland areas of China. These outbreaks have occurred between June and November, generally peaking in September or October, around epidemiological week (EW) 40.</p><p><strong>Conclusions: </strong>Dengue challenges in China are increasing. Timely case monitoring, proactive control interventions, and staff mobilization should be implemented before June to ensure a timely response to autochthonous outbreaks.</p>","PeriodicalId":69039,"journal":{"name":"中国疾病预防控制中心周报","volume":"6 41","pages":"1045-1048"},"PeriodicalIF":4.3,"publicationDate":"2024-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11532530/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142583403","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
中国疾病预防控制中心周报Pub Date : 2024-10-04DOI: 10.46234/ccdcw2024.213
Linyuan Lai, Xin Wang, Ying Li, Yan Wang, Hui Xue, Xiaoyan Ni, Yifan Chen, Lijun Fan, Jie Yang, Wei Du
{"title":"A Latent Class Analysis of Lifestyle Patterns in Relation to Depressive Symptoms Among Adolescents - Jiangsu Province, China, 2022.","authors":"Linyuan Lai, Xin Wang, Ying Li, Yan Wang, Hui Xue, Xiaoyan Ni, Yifan Chen, Lijun Fan, Jie Yang, Wei Du","doi":"10.46234/ccdcw2024.213","DOIUrl":"10.46234/ccdcw2024.213","url":null,"abstract":"<p><strong>What is already known about this topic?: </strong>Interventions aimed at modifying lifestyle behaviors can effectively reduce the risk of depression among adolescents. These lifestyle behaviors tend to be interconnected; thus, changes to one behavior can often lead to changes in others, usually occurring simultaneously.</p><p><strong>What is added by this report?: </strong>Adolescents from Jiangsu Province displayed distinct lifestyle patterns, with those engaging in multiple specific behaviors, such as excessive consumption of sugar-sweetened beverages and prolonged screen time, showing increased odds of depression.</p><p><strong>What are the implications for public health practice?: </strong>Early implementation of anti-depression interventions in adolescents should be advocated and prioritized, particularly targeting multiple high-risk lifestyles.</p>","PeriodicalId":69039,"journal":{"name":"中国疾病预防控制中心周报","volume":"6 40","pages":"1028-1032"},"PeriodicalIF":4.3,"publicationDate":"2024-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11532516/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142585401","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}