China CDC Weekly最新文献

{"title":"Understanding the Effects of Iatrogenic Management on Population Health: A Medical Innovation Perspective.","authors":"Jian Yang, Shuduo Zhou, Xiangning Feng, Ying Chen, Yunxuan Hu, Ming Xu","doi":"10.46234/ccdcw2023.118","DOIUrl":"10.46234/ccdcw2023.118","url":null,"abstract":"In this paper, we introduce an iatrogenesis intervention framework guided by medical innovation, which encompasses the objectives, influences of medical innovation on iatrogenesis, factors affecting various types of iatrogenesis, and strategies for controlling iatrogenesis. Advancements in medical innovation across various domains can bridge the patient safety implementation gap by uncovering, characterizing, refining, accelerating, scaling, extending, and mobilizing the external and internal conditions and factors that influence the control and elimination of iatrogenesis. Iatrogenesis, or the adverse effects and risks associated with medical interventions, poses a significant challenge in global public health as it ranks as the fifth leading cause of death worldwide and a leading cause of death in numerous countries (1–2). Prior to the coronavirus disease 2019 (COVID-19) pandemic, 2.6 million deaths occurred annually due to safety lapses in hospitals in low-income countries, while nearly 15% of hospital expenditure and activity in developed nations were attributed to addressing treatment safety failures (3).","PeriodicalId":9867,"journal":{"name":"China CDC Weekly","volume":"5 27","pages":"614-618"},"PeriodicalIF":0.0,"publicationDate":"2023-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/3b/d1/ccdcw-5-27-614.PMC10354532.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9853607","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":"Challenges and Responses of Left-Behind Elderly and Children in Rural China Amid the New Population Development Stage.","authors":"Dianqi Yuan, Peisen Yang, Hanbing Yang, Huameng Tang, Chao Guo","doi":"10.46234/ccdcw2023.117","DOIUrl":"https://doi.org/10.46234/ccdcw2023.117","url":null,"abstract":"The disparate economic growth in China has compelled numerous adults from rural areas to migrate to cities in search of more lucrative employment prospects (1). In the 7th National Census, it was reported that the floating population totaled 375,816,759, accounting for approximately 26.00% of the overall population. Such migratory patterns often result in leaving behind vulnerable groups, particularly children and older adults, in rural regions. Given the inadequately established care systems, these groups are particularly susceptible and have consistently been at the forefront of social security concerns in China (2). The inadequate public pension benefits and health insurance systems result in older adults relying heavily on their offspring, generally their sons, for their overall well-being (3). Migration has led to the rise of a vulnerable group known as the “rural left-behind older adults”, where older family members lack necessary support as their caretaker children move to urban areas. Simultaneously, the growth and well-being of children hinge on parental care, but employment constraints, limited financial resources, and rural residency restrictions often make it unfeasible for migrant workers to bring their children to the cities where they work (4). Consequently, these children are regularly left behind in their rural homes, becoming the “left-behind children in rural areas”. During the first meeting of the Financial and Economic Affairs Commission under the 20th Communist Party of China (CPC), Xi Jinping, General Secretary of the CPC Central Committee, accentuated that the country is entering a new stage of population development. This phase is characterized by declining birthrates, an aging population, and uneven population growth among regions. Additionally, the rural population characterized by an unbalanced age population structure, has been pronouncedly affected by the inconsistent economic development and these factors. Status of Imbalanced Age Structure and Increasing Burdens The 2020 Population Census reported that in China, the child-age dependency ratio was 26.24 per 100 working-age individuals, while the old-age dependency ratio was 19.74. Notably, rural areas displayed significantly higher dependency ratios in comparison to urban areas. In rural areas, the child-age dependency ratio was at 30.58 and the old-age dependency ratio was 28.13. Contrastingly, in urban areas, these ratios were 24.07 and 15.56, respectively. The heavily skewed age structure in rural areas has imposed a greater burden on the adult population due to these pronounced dependency ratios. Moreover, notable societal aging has been recorded in China, predicting a future transition from an aging society to an aged society, which may exacerbate the existing burdens. Concerns over declining fertility rates and rising populations of older adults are not unique to China. According to the World Population Ageing 2020 report and the United Nations Population Div","PeriodicalId":9867,"journal":{"name":"China CDC Weekly","volume":"5 27","pages":"609-613"},"PeriodicalIF":0.0,"publicationDate":"2023-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/79/ad/ccdcw-5-27-609.PMC10354534.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9853606","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":"The Impact of Low Fertility Rates on Labor Demand and Socioeconomic Development in China.","authors":"Yutong Wu, Binbin Su, Jun Li","doi":"10.46234/ccdcw2023.115","DOIUrl":"10.46234/ccdcw2023.115","url":null,"abstract":"The World Population Prospects report, published by the United Nations in 2022, revealed a decline in the global population growth rate (PGR) to less than 1% — the lowest recorded rate since 1950. Predictions suggest a further decrease to 0.5% by 2050, culminating in negative growth in more than 60 countries and intensifying the issue of population aging (1). China, a highly populous nation, is encountering even more acute challenges. By the conclusion of 2022, China’s population totaled approximately 1.412 billion, reflecting a decline of 850,000 from the prior year and a natural PGR of −0.06% (2). This negative growth, China’s first since the 1960s, indicates that the peak of China’s population was reached in 2021, with a slide into negative growth from 2022 onward. Examining the population structure between 2010 and 2022, there was a decrease in China’s working-age population (ages 15–64) from 74.5% to 68.2% and an increase in the over-65 demographic from 8.87% to 14.9%, whereas the under-15 age group experienced only negligible change. This scenario underscores the escalating trend of aging in China, propelled by persistently low fertility rates. China’s negative population growth poses challenges and opportunities for its socio-economic development. Firstly, changes in population size and structure will bring about major alterations in family dynamics and societal systems, significantly impacting social demands and resource allocation strategies. Additionally, the decline in the working-age population, being central to economic development, will notably curtail economic growth potential. Conversely, a reduced population size will increase per capita resource allocation in sectors like education and healthcare, presenting an opportunity to enhance the quality of life. These demographic changes can also spur a new wave of industrial revolution, creating novel development prospects.","PeriodicalId":9867,"journal":{"name":"China CDC Weekly","volume":"5 27","pages":"599-604"},"PeriodicalIF":0.0,"publicationDate":"2023-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/66/de/ccdcw-5-27-599.PMC10354531.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9848134","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":"Medical Consultations Option and Influencing Factors for SARS-CoV-2 Infected Individuals - Beijing Municipality, China, December 2022.","authors":"Mingyue Li,&nbsp;Jue Liu,&nbsp;Ming Du,&nbsp;Chen Wang,&nbsp;Yafang Huang,&nbsp;Wentao Li,&nbsp;Tong Xiang,&nbsp;Jingwei Zhao,&nbsp;Xiaoli Zhu,&nbsp;Xinying Dong,&nbsp;Hao Wu,&nbsp;Shugang Li","doi":"10.46234/ccdcw2023.111","DOIUrl":"https://doi.org/10.46234/ccdcw2023.111","url":null,"abstract":"<p><strong>What is already known about this topic?: </strong>In December 2022, China revised its epidemic prevention and control strategy, leading to an increase in coronavirus disease 2019 (COVID-19) cases and a peak in medical consultations. Government departments implemented relevant policies to coordinate and allocate medical resources throughout China. However, there is a scarcity of research on the status of medical consultations and the factors influencing them.</p><p><strong>What is added by this report?: </strong>In the study population, over 80% of individuals with COVID-19 chose not to pursue medical care, while more than 70% of patients who sought treatment opted for primary healthcare facilities. The decision to consult medical professionals was influenced by various factors, such as age, education level, employment status, urban-rural distribution, and the presence of symptoms following COVID-19 infection.</p><p><strong>What are the implications for public health practice?: </strong>The implementation of tiered diagnostic and treatment approaches, aligned with guidelines issued by governing bodies, is essential for mitigating the strain on medical resources. Primary healthcare institutions serve as \"gatekeepers\" for public health and should be further expanded in the future.</p>","PeriodicalId":9867,"journal":{"name":"China CDC Weekly","volume":"5 26","pages":"572-578"},"PeriodicalIF":0.0,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/5d/62/ccdcw-5-26-572.PMC10346096.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9829505","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":"Detecting SARS-CoV-2 BA.2, BA.4, and BA.5 Variants Utilizing a Robust RT-RPA-CRISPR/Cas12a-Based Method - China, 2023.","authors":"Meihui Luo,&nbsp;Yang Pan,&nbsp;Yaqing He,&nbsp;Ruhan A,&nbsp;Changcheng Wu,&nbsp;Baoying Huang,&nbsp;Roujian Lu,&nbsp;Li Zhao,&nbsp;Bo Peng,&nbsp;Fei Ye,&nbsp;Huijuan Wang,&nbsp;Yuda Chen,&nbsp;Zhen Li,&nbsp;Daitao Zhang,&nbsp;Wenling Wang,&nbsp;Wenjie Tan","doi":"10.46234/ccdcw2023.113","DOIUrl":"https://doi.org/10.46234/ccdcw2023.113","url":null,"abstract":"<p><strong>Introduction: </strong>Since 2019, numerous variants of concern for severe acute respiratory syndrome virus 2 (SARS-CoV-2) have emerged, leading to significant outbreaks. The development of novel, highly accurate, and rapid detection techniques for these new SARS-CoV-2 variants remains a primary focus in the ongoing efforts to control and prevent the coronavirus disease 2019 (COVID-19) pandemic.</p><p><strong>Methods: </strong>Reverse transcription-recombinase polymerase amplification combined with the clustered regularly interspaced short palindromic repeats-associated protein 12a (CRISPR/Cas12a) system was used to validate the detection of the Omicron BA.2, BA.4, and BA.5 variants of SARS-CoV-2.</p><p><strong>Results: </strong>Our results demonstrate that the CRISPR/Cas12a assay is capable of effectively detecting the SARS-CoV-2 BA.2, BA.4, and BA.5 variants with a limit of detection of 10, 1, and 10 copies/μL, respectively. Importantly, our assay successfully differentiated the three SARS-CoV-2 Omicron strains from one another. Additionally, we evaluated 46 SARS-CoV-2 positive clinical samples consisting of BA.2 (<i>n</i>=20), BA.4 (<i>n</i>=6), and BA.5 (<i>n</i>=20) variants, and the sensitivity of our assay ranged from 90% to 100%, while the specificity was 100%.</p><p><strong>Discussion: </strong>This research presents a swift and reliable CRISPR-based method that may be employed to track the emergence of novel SARS-CoV-2 variants.</p>","PeriodicalId":9867,"journal":{"name":"China CDC Weekly","volume":"5 26","pages":"584-591"},"PeriodicalIF":0.0,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/27/9c/ccdcw-5-26-584.PMC10346095.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9829501","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":"Global Overview and Insights on Infodemiology and Infodemic Management.","authors":"Mingfan Pang,&nbsp;Yichi Zhang,&nbsp;Siyue Guo,&nbsp;Xinping Yang,&nbsp;Xiaopeng Qi","doi":"10.46234/ccdcw2023.112","DOIUrl":"https://doi.org/10.46234/ccdcw2023.112","url":null,"abstract":"","PeriodicalId":9867,"journal":{"name":"China CDC Weekly","volume":"5 26","pages":"579-583"},"PeriodicalIF":0.0,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/a7/33/ccdcw-5-26-579.PMC10346098.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9826932","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":"Persistent Urinary Tract Infection in Association with Community-Acquired NDM-5 <i>Escherichia coli</i> Clonal Group Following COVID-19 Infection - Beijing Municipality, China, 2023.","authors":"Jiazhen Guo,&nbsp;Ran Duan,&nbsp;Dan Zhang,&nbsp;Peng Zhang,&nbsp;Shuai Qin,&nbsp;Yajuan Fang,&nbsp;Yingna Sun,&nbsp;Lianhe Lu,&nbsp;Huaiqi Jing,&nbsp;Xin Wang,&nbsp;Rongmeng Jiang,&nbsp;Biao Kan","doi":"10.46234/ccdcw2023.110","DOIUrl":"https://doi.org/10.46234/ccdcw2023.110","url":null,"abstract":"<p><strong>What is already known about this topic?: </strong>The hospital-acquired infections caused by New Delhi metallo-beta-lactamase (NDM)-producing strains are typically attributed to a single clonal lineage.</p><p><strong>What is added by this report?: </strong>In this study, we encountered a unique case of community-acquired NDM-5 <i>Escherichia coli</i> urinary tract infection (UTI) following coronavirus disease 2019 (COVID-19). The UTI persisted for a duration of at least 45 days. Genomic analyses revealed the presence of two NDM-5 strains, both sharing an identical chromosomal background but distinct, homologous, and recombined plasmids. This case suggests that a diverse range of resistance genes may be present within the human body, with drug-resistant strains undergoing continuous evolution during infection. The intestinal tract may have been its drug-resistant gene pool.</p><p><strong>What are the implications for public health practice?: </strong>The observations presented in this case indicate that the endogenous acquisition of drug-resistant genes may also be an issue in managing multidrug-resistant organisms (MDRO). It is possible for continuous recombination to occur within carbapenem-resistant Enterobacteriaceae (CRE) during infection. In contrast to exogenously-acquired resistance, greater attention should be placed on the endogenous factors that contribute to the development of CRE within healthcare settings.</p>","PeriodicalId":9867,"journal":{"name":"China CDC Weekly","volume":"5 26","pages":"565-571"},"PeriodicalIF":0.0,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/57/b7/ccdcw-5-26-565.PMC10346097.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9829503","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":"Suicide Prevention: More Actions Are Needed.","authors":"Guoqing Hu","doi":"10.46234/ccdcw2023.106","DOIUrl":"10.46234/ccdcw2023.106","url":null,"abstract":"","PeriodicalId":9867,"journal":{"name":"China CDC Weekly","volume":"5 25","pages":"545-546"},"PeriodicalIF":0.0,"publicationDate":"2023-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/54/2a/ccdcw-5-25-545.PMC10319905.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9805760","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":"Prevalence and Associated Factors of Suicidal Behaviors Among Community-Dwelling Individuals with Serious Mental Disorders - Shandong Province, China, 2022.","authors":"Meiqi Wang,&nbsp;Long Sun","doi":"10.46234/ccdcw2023.107","DOIUrl":"https://doi.org/10.46234/ccdcw2023.107","url":null,"abstract":"<p><strong>What is already known about this topic?: </strong>Serious mental disorders (SMD) are significant risk factors for suicide, and individuals with SMD are crucial target populations for suicide prevention efforts. While numerous studies have examined the prevalence of suicidal behaviors among psychiatric inpatients, fewer reports have addressed the occurrence of such behaviors in community-based patients.</p><p><strong>What is added by this report?: </strong>The prevalence of suicidal ideation, planning, and attempts among community-dwelling individuals with SMD was found to be 36.8%, 17.9%, and 15.0%, respectively. A significant association was observed between the severity of psychiatric symptoms and the presence of suicidal behaviors. Notably, patients within the 55-59 age range demonstrated the highest rates of both suicidal planning and attempts.</p><p><strong>What are the implications for public health practice?: </strong>Particular attention to the risk of suicide is crucial, especially for community-dwelling individuals with SMD of middle age, those with religious beliefs, living alone, and exhibiting more severe depressive and psychiatric symptoms.</p>","PeriodicalId":9867,"journal":{"name":"China CDC Weekly","volume":"5 25","pages":"547-553"},"PeriodicalIF":0.0,"publicationDate":"2023-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/45/70/ccdcw-5-25-547.PMC10319903.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9805765","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":"Associations among Distress Rumination, Somatic Anxiety, and Suicidal Ideation in Chinese College Students - Shandong Province, China, 2019-2020.","authors":"Guoxiao Sun,&nbsp;Zhiyao Ma,&nbsp;Zongyu Liu,&nbsp;Jenny Huen,&nbsp;Bob Lew,&nbsp;Augustine Osman,&nbsp;Cunxian Jia","doi":"10.46234/ccdcw2023.108","DOIUrl":"https://doi.org/10.46234/ccdcw2023.108","url":null,"abstract":"<p><strong>What is already known about this topic?: </strong>The literature has consistently demonstrated that distress rumination following a traumatic event has significant implications for mental health. However, the potential association between distress rumination and suicidality, as well as the underlying mechanisms driving this relationship, remains to be elucidated.</p><p><strong>What is added by this report?: </strong>The current study demonstrated a significant, positive correlation between distress rumination and suicidal ideation in college students who have encountered traumatic events. The findings indicate that somatic anxiety serves as a mediator between distress rumination and suicidal ideation.</p><p><strong>What are the implications for public health practice?: </strong>Interventions aimed at reducing somatic anxiety may contribute to a decrease in suicidal ideation. Assessing and addressing somatic anxiety symptoms in college students experiencing distressful rumination following traumatic events could potentially lower the risk of suicide.</p>","PeriodicalId":9867,"journal":{"name":"China CDC Weekly","volume":"5 25","pages":"554-558"},"PeriodicalIF":0.0,"publicationDate":"2023-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/89/05/ccdcw-5-25-554.PMC10319902.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10182391","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}