China CDC Weekly最新文献

{"title":"Reviewing the Chinese-Specific Reference Amounts Study Conducted by Sun et al., 2022.","authors":"W Marty Blom, Joost Westerhout, Geert F Houben","doi":"10.46234/ccdcw2023.145","DOIUrl":"https://doi.org/10.46234/ccdcw2023.145","url":null,"abstract":"The need for region-specific food intake values to accurately estimate food allergen risk is underscored by the recent Ad Hoc Joint Food and Agriculture Organization/World Health Organization (FAO/ WHO) Expert Consultation on Risk Assessment of Food Allergens (1). A recent study published by Sun et al. in China CDC Weekly 2022, titled A ChineseSpecific Reference Amounts Study with TNO Food Allergen Risk Assessment Models — China, 2022, critically examines and applies a previously established sensitivity analysis aimed at deriving food intake values for food allergen risk assessment (RA) (2–3). In their examination of Chinese food consumption data, the authors find that “the 95th–99th percentiles of the food consumption distribution per eating occasion for condiments and chocolates are the optimal point estimates for use in deterministic allergen RA, aiming to protect 99% of allergic individuals from allergic reactions due to unintended peanut presence.” This finding significantly deviates from those of Blom et al., which suggested that the 50th–75th percentiles of the food consumption distribution per eating occasion in various global contexts would suffice for achieving a similar safety objective aimed at protecting 95%–99% of allergic individuals from objective allergic reactions due to unintended allergen presence (3–4). While a more cautious approach to consumption estimations may appear safe from a risk management perspective, such an approach could involve a degree of overprotection that may result in unwarranted restrictions for both the Chinese food-allergic population and the food industry. Achieving a balance between guaranteeing safety and implementing realistic, pragmatic protocols is vital (1). Thus, a risk assessment that incorporates unnecessary high-intake figures may not provide risk managers with the most effective information(5). Hence, we evaluated the potential causes of the elevated P-values discovered in the study by Sun et al. (2). We focused on identifying elements that could significantly augment the sensitivity analysis, ultimately leading to the establishment of a more robust food intake estimation for China. Several factors in the data utilized by Sun et al. (2) could be contributing to the observed elevated P-values (Table 1), thus likely resulting in an excessively conservative outcome, more so than what was projected when the sensitivity analysis method was initially applied. For instance, the food consumption distribution employed in the study lacks the necessary diversity in comparison to the food consumption distribution from other research, thereby contributing to a less refined point estimate (Table 2). A striking similarity can be seen between the consumption ranges of condiments in China and the Netherlands, hovering between 25 grams to approximately 250 grams within the 50th and 99th percentile of the intake distribution (Table 2). According to the Dutch National Food Consumption Surveys (DNFCS) (https://ww","PeriodicalId":9867,"journal":{"name":"China CDC Weekly","volume":"5 34","pages":"763-765"},"PeriodicalIF":0.0,"publicationDate":"2023-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/75/5a/ccdcw-5-34-763.PMC10485358.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10588141","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":"Reported Cases and Deaths of National Notifiable Infectious Diseases - China, April 2023.","authors":"","doi":"10.46234/ccdcw2023.099","DOIUrl":"https://doi.org/10.46234/ccdcw2023.099","url":null,"abstract":"","PeriodicalId":9867,"journal":{"name":"China CDC Weekly","volume":"5 33","pages":"742-743"},"PeriodicalIF":0.0,"publicationDate":"2023-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/7d/09/ccdcw-5-33-742.PMC10468373.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10519427","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":"Epidemiological Evaluation of <i>Bacillus cereus</i>-Induced Foodborne Outbreaks - China, 2010-2020.","authors":"Shenggang Duan,&nbsp;Yue Yu,&nbsp;Yunchang Guo,&nbsp;Donglei Lu,&nbsp;Ning Li,&nbsp;Zhitao Liu,&nbsp;Jinjun Liang,&nbsp;Yuyan Jiang,&nbsp;Santao Wang,&nbsp;Ping Fu,&nbsp;Jikai Liu,&nbsp;Hong Liu","doi":"10.46234/ccdcw2023.140","DOIUrl":"https://doi.org/10.46234/ccdcw2023.140","url":null,"abstract":"<p><strong>Introduction: </strong><i>Bacillus cereus</i> (<i>B. cereus</i>) is a common gram-positive bacterium that contaminates starch-rich food and can cause outbreaks of foodborne diseases. This study describes the characteristics of outbreaks caused by <i>B. cereus</i> in China during 2010-2020 and explore the possible reasons for changes in the number of outbreaks over time. Results of this analysis can efficiently help guide and allocate public resources to prevent <i>B. cereus-</i>caused foodborne diseases.</p><p><strong>Methods: </strong>Descriptive statistical methods were used to analyze the data on <i>B. cereus</i> outbreaks in China during this period. The data were identified and reported at all levels in China through National Foodborne Disease Outbreak Surveillance System.</p><p><strong>Results: </strong>From 2010 to 2020, a total of 419 foodborne outbreaks prompted by <i>B. cereus</i> were reported in China, leading to 7,892 cases, 2,786 hospital admissions, and 5 fatalities. The bulk of the outbreaks were recorded in the summer, primarily between May and September. The most recurrent food vehicle was linked with rice or flour-based products, notably those made with rice or fried rice. School canteens bore the brunt of the <i>B. cereus</i> outbreaks. In multifactor outbreaks, food contamination was identified as the most common culprit; while in instances where only one factor contributed, improper storage was most frequently implicated.</p><p><strong>Conclusion: </strong>The prevalence of <i>B. cereus</i> outbreaks remained relatively consistent throughout the studied period. Understanding the types of foods, causative factors, and contributing elements leading to <i>B. cereus</i> outbreaks can help inform prevention strategies for foodborne illnesses. The majority of outbreaks were associated with rice- or flour-based foods in school canteens, suggesting contamination and improper storage during food preparation. Consequently, it is essential to prioritize continuous education for canteen staff on food safety, efficacious management, and proper practices. The implementation of comprehensive guidelines, encompassing multiple critical aspects, can potentially reduce the occurrence of <i>B. cereus</i> outbreaks.</p>","PeriodicalId":9867,"journal":{"name":"China CDC Weekly","volume":"5 33","pages":"737-741"},"PeriodicalIF":0.0,"publicationDate":"2023-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/d9/b4/ccdcw-5-33-737.PMC10468372.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10153713","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":"Synergistic Effects of Rotavirus and Co-Infecting Viral Enteric Pathogens on Diarrheal Disease - Guangzhou City, Guangdong Province, China, 2019.","authors":"Shunxian Zhang,&nbsp;Liguang Tian,&nbsp;Yan Lu,&nbsp;Lei Wang,&nbsp;Wenwen Lyu,&nbsp;Jinxin Zheng,&nbsp;Shan Lyu,&nbsp;Lili Pang,&nbsp;Guobing Yang,&nbsp;Hongli Wang,&nbsp;Ruitao Liu,&nbsp;Guanhua Chen,&nbsp;Jichun Wang","doi":"10.46234/ccdcw2023.138","DOIUrl":"https://doi.org/10.46234/ccdcw2023.138","url":null,"abstract":"<p><strong>What is already known about this topic?: </strong>Diarrhea represents a substantial public health issue, contributing globally to a high number of pediatric medical consultations, hospital admissions, and mortality rates.</p><p><strong>What is added by this report?: </strong>An increase in diarrheal frequency serves as a critical benchmark for evaluating severity. The predominant pathogens associated with pediatric diarrhea are rotavirus and norovirus, with co-infections exerting a notable compounding effect that leads to more severe diarrhea.</p><p><strong>What are the implications for public health practice?: </strong>Implementing sensitive diagnostic techniques and comprehensive monitoring is paramount in identifying co-infections. Such strategies can provide physicians with critical insights into disease progression, thus considerably reducing the burden of diarrhea.</p>","PeriodicalId":9867,"journal":{"name":"China CDC Weekly","volume":"5 33","pages":"725-730"},"PeriodicalIF":0.0,"publicationDate":"2023-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/49/5c/ccdcw-5-33-725.PMC10468374.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10155253","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":"Comparative Analysis of Vaccine Inequity and COVID-19 Transmission Amid the Omicron Variant Among Countries - Six Countries, Asia-Pacific Region, 2022.","authors":"Jingli Yang,&nbsp;Hannah McClymont,&nbsp;David J Warne,&nbsp;Liping Wang,&nbsp;Wenbiao Hu","doi":"10.46234/ccdcw2023.139","DOIUrl":"https://doi.org/10.46234/ccdcw2023.139","url":null,"abstract":"<p><strong>What is already known about this topic?: </strong>The coronavirus disease 2019 (COVID-19) persists as a significant global public health crisis. The predominant strain, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), notably the Omicron variant, continues to undergo mutations. While vaccination is heralded as the paramount solution to cease the pandemic, challenges persist in providing equitable access to COVID-19 vaccines.</p><p><strong>What is added by this report?: </strong>The distribution of vaccine coverage exhibited disparities between high-income and middle-income countries, with middle-income countries evidencing lower levels of vaccination. The data further suggested that countries with lesser vaccination levels tended to display a higher case fatality rate. Findings indicated that an increase in population-wide vaccination was effective in mitigating COVID-19 related mortalities.</p><p><strong>What are the implications for public health practice?: </strong>The findings of this research underscore the pressing necessity for equitable access to vaccines to effectively mitigate the COVID-19 pandemic within the Asia-Pacific region.</p>","PeriodicalId":9867,"journal":{"name":"China CDC Weekly","volume":"5 33","pages":"731-736"},"PeriodicalIF":0.0,"publicationDate":"2023-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/6e/06/ccdcw-5-33-731.PMC10468375.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10155252","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":"Addressing Environmental Health Challenges for Sustainable Development in China.","authors":"Shilu Tong,&nbsp;Yuebin Lyu,&nbsp;Jiao Wang,&nbsp;Xiaoming Shi","doi":"10.46234/ccdcw2023.144","DOIUrl":"https://doi.org/10.46234/ccdcw2023.144","url":null,"abstract":"On May 5, 2023, the World Health Organization (WHO) declared that the coronavirus disease 2019 (COVID-19) no longer posed a public health emergency of international concern (1). As restrictions associated with the epidemic are relaxed and a fresh policy cycle commences, China’s economy is expected to serve as a key driver of global economic postpandemic recovery. For over four and a half decades, China has witnessed rapid economic growth, positioning itself as the world’s second-largest economy. Notably, from 2012 to 2022, the gross domestic product (GDP) of China expanded more than twofold, from 53.9 trillion Chinese yuan (CNY) [approximately 7.58 trillion United States dollars (USD)] to 121.02 trillion CNY (17.93 trillion USD). In the same period, the country had an average annual GDP growth rate of 6.2%, one of the highest globally (2). Alongside this economic growth, China also achieved significant strides in environmental conservation. Specifically, energy consumption per unit of GDP reduced by 8.1%, and CO2 emissions decreased by 14.1%. Furthermore, from 2018 to 2022, an improvement was observed in water quality in cities at or above the prefectural level, with the percentage of good-quality surface water bodies increasing from 67.9% to 87.9%. Air quality also improved, with the average particulate matter 2.5 (PM2.5) concentration decreasing by 27.5% and severe air pollution days declining by over 50% (2). However, simultaneous industrial expansion and rapid urbanization, coupled with an increase in energy consumption and a burgeoning vehicular population, have amplified environmental pollution issues. This situation presents a significant challenge to both socioeconomic development and public health in China, reflecting environmental health challenges often encountered by developing nations.","PeriodicalId":9867,"journal":{"name":"China CDC Weekly","volume":"5 32","pages":"715-719"},"PeriodicalIF":0.0,"publicationDate":"2023-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/58/fe/ccdcw-5-32-715.PMC10442698.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10122696","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":"Weekly Weight Gain in Women with Gestational Diabetes Mellitus and Neonatal Birth Weight - China, 2011-2021.","authors":"Nana Liu,&nbsp;Jinlang Lyu,&nbsp;Haijun Wang,&nbsp;Yin Sun,&nbsp;Suhan Zhang,&nbsp;Hang Lin,&nbsp;Yaxin Wang,&nbsp;Xuanjin Yang,&nbsp;Shuai Ma,&nbsp;Na Han,&nbsp;Yang Mi,&nbsp;Dan Zheng,&nbsp;Zhifen Yang,&nbsp;Hongping Zhang,&nbsp;Yan Jiang,&nbsp;Yuelong Ji,&nbsp;Liangkun Ma","doi":"10.46234/ccdcw2023.135","DOIUrl":"https://doi.org/10.46234/ccdcw2023.135","url":null,"abstract":"<p><strong>What is already known about this topic?: </strong>Elevated gestational weight gain (GWG) during pregnancy among women diagnosed with gestational diabetes mellitus (GDM) is correlated with an increased instance of large for gestational age (LGA) and macrosomia. However, it remains uncertain whether managing weekly GWG following a GDM diagnosis positively impacts fetal birth weight.</p><p><strong>What is added by this report?: </strong>Our study found that GWG following GDM diagnosis correlates positively with the risk of LGA and macrosomia among all body mass index (BMI) subgroups, especially for overweight and obese women.</p><p><strong>What are the implications for public health practice?: </strong>The results of this research highlight the importance of enforcing a more stringent regulation on GWG on a weekly basis for overweight and obese women diagnosed with GDM, particularly when considering neonatal growth.</p>","PeriodicalId":9867,"journal":{"name":"China CDC Weekly","volume":"5 32","pages":"703-709"},"PeriodicalIF":0.0,"publicationDate":"2023-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/c8/f3/ccdcw-5-32-703.PMC10442697.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10067967","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":"Enhancing Public Health Competencies via Action on Salt China - China, 2017-2022.","authors":"Puhong Zhang","doi":"10.46234/ccdcw2023.137","DOIUrl":"https://doi.org/10.46234/ccdcw2023.137","url":null,"abstract":"The Action on Salt China (ASC) project is a noteworthy collaborative venture between China and UK, with the China CDC serving as a key partner. The objective of this report is to present a case study that demonstrates the significant role of ASC in bolstering the capacity of public health services in China. Furthermore, this study aims to offer valuable references and provoke thoughtful insight for potential international collaborations in the future.","PeriodicalId":9867,"journal":{"name":"China CDC Weekly","volume":"5 32","pages":"720-723"},"PeriodicalIF":0.0,"publicationDate":"2023-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/b5/bb/ccdcw-5-32-720.PMC10442700.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10069817","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":"A Large-Scale Cross-Sectional Study on Mental Health Status Among Children and Adolescents - Jiangsu Province, China, 2022.","authors":"Xin Wang,&nbsp;Yan Wang,&nbsp;Xiyan Zhang,&nbsp;Wenyi Yang,&nbsp;Jie Yang","doi":"10.46234/ccdcw2023.136","DOIUrl":"https://doi.org/10.46234/ccdcw2023.136","url":null,"abstract":"<p><strong>What is already known about this topic?: </strong>The prevalence of mental health disorders among children and youth in China stands at 17.5%, a figure that has been gradually escalating over recent years. This surge has led to substantial psychological distress and financial strain for both families and the wider society.</p><p><strong>What is added by this report?: </strong>This study boasts an expansive geographical scope by covering Jiangsu Province extensively and utilizing a substantial sample size. An investigation was conducted on the prevalence and risk factors, which included family type and health behaviors, of depressive, anxiety, and stress symptoms.</p><p><strong>What are the implications for public health practice?: </strong>The mental health status of children and adolescents should be of great concern to the government. Therefore, it is important that public health measures are implemented to mitigate the development of depressive symptoms. These measures may include regular screening procedures and the implementation of proven interventions.</p>","PeriodicalId":9867,"journal":{"name":"China CDC Weekly","volume":"5 32","pages":"710-714"},"PeriodicalIF":0.0,"publicationDate":"2023-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/de/0f/ccdcw-5-32-710.PMC10442699.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10421765","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":"Advancements in the Worldwide Detection of Severe Fever with Thrombocytopenia Syndrome Virus Infection from 2009 to 2023.","authors":"Lin Ai, Wei Wang, Zheng Teng","doi":"10.46234/ccdcw2023.132","DOIUrl":"10.46234/ccdcw2023.132","url":null,"abstract":"<p><p>Severe fever with thrombocytopenia syndrome (SFTS) is a growing concern as an emerging tick-borne infectious disease originating from the SFTS virus (SFTSV), a recent addition to the <i>Phlebovirus</i> genus under the family of bunyaviruses. SFTS is typically identified by symptoms such as fever, thrombocytopenia, leukopenia, and gastrointestinal problems, accompanied by a potentially high case fatality rate. Thus, early and accurate diagnosis is essential for effective treatment and disease management. This review delves into the existing methodologies for SFTS detection, including pathogenic, molecular, and immunological technologies.</p>","PeriodicalId":9867,"journal":{"name":"China CDC Weekly","volume":"5 31","pages":"687-693"},"PeriodicalIF":0.0,"publicationDate":"2023-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/69/0b/ccdcw-5-31-687.PMC10427339.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10104030","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}