Abstract

Nowadays, tuberculosis, scarlet fever, measles, influenza, and mumps are five major notifiable respiratory infectious diseases (RIDs) in China. The objective of this study was to describe, visualize, and compare the spatial-temporal distributions of these five RIDs from 2006 to 2016. In addition to descriptive epidemiology analysis, seasonality and spatial autocorrelation analysis were also applied to explore the epidemiologic trends and spatial changing patterns of the five RIDs, respectively. The results indicated that the incidence of tuberculosis, measles, and mumps presented a downtrend trend, while those of scarlet fever and influenza was in a strong uptrend across the research period. The incidences of the five diseases all peaked in spring. There were significant spatial disparities in the distribution of tuberculosis, scarlet fever, and measles cases, with the hotspots mainly located in the western plateau region, northern plain region, and southern mountainous region. To conclude, notable epidemiological differences were observed across regions, indicating that some provincial units should pay more attention to prevent and control respiratory infectious diseases.

Highlights

  • In 2015, the United Nations released sustainable development goals (SDGs), which proposed the elimination of the epidemics of AIDS, tuberculosis, and other infectious diseases by 2030 [1].Respiratory infectious diseases (RIDs) refer to a number of infectious diseases involving the respiratory tract [2]

  • This study aims to explore, visualize, and compare the spatial–temporal epidemiology of five major respiratory infectious diseases (RIDs) in China

  • This study revealed the spatial–temporal epidemiology of five major feature, and the HH cluster area extended

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Summary

Introduction

In 2015, the United Nations released sustainable development goals (SDGs), which proposed the elimination of the epidemics of AIDS, tuberculosis, and other infectious diseases by 2030 [1]. Respiratory infectious diseases (RIDs) refer to a number of infectious diseases involving the respiratory tract [2]. Most of them spread through droplets and short-distance contact, and the herd is generally susceptible [3]. In 2016, lower and upper respiratory tract infections accounted for 4.06% of the total disability-adjusted life years (DALYs) [4], among which lower respiratory infections caused 3.0 million deaths annually, making it the first cause of death in low-income countries [5]. Tuberculosis is listed among the top 10 causes of death, with a death toll of 1.3 million [5].

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