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Epidemiological features of seasonal influenza transmission among 11 climate zones in Chinese mainland

Infectious Diseases of Poverty 2024年第1期13卷 27-41页

作者： Xiaohan Si Liping Wang Kerrie Mengersen Wenbiao Hu Ecosystem Change and Population Health Research Group School of Public Health and Social WorkQueensland University of TechnologyBrisbaneQLD 4059Australia Information Center Chinese Center for Disease Control and PreventionBeijing 102206China School of Mathematical Sciences Queensland University of TechnologyBrisbaneQLD 4000Australia

Background Previous studies provided some evidence of meteorological factors influence seasonal influenza transmission patterns varying across regions and latitudes. However, research on seasonal influenza activities based on climate zones are still in lack. This study aims to utilize the ecological-based koppen geiger climate zones classification system to compare the spatial and temporal epidemiological characteristics of seasonal influenza in Chinese mainland and assess the feasibility of developing an early warning *** Weekly influenza cases number from 2014 to 2019 at the county and city level were sourced from China National Notifiable Infectious Disease Report Information system. Epidemic temporal indices, time series seasonality decomposition, spatial modelling theories including Moran’s/ and local indicators of spatial association were applied to identify the spatial and temporal patterns of influenza *** All climate zones had peaks in Winter-Spring season. Arid, desert, cold (BWk) showed up the first peak. Only Tropical, savannah (Aw) and Temperate, dry winter with hot summer (Cwa) zones had unique summer peak. Temperate, no dry season and hot summer (Cfa) zone had highest average incidence rate (IR) at 1.047/100,000. The Global Moran’s/ showed that average IR had significant clustered trend (z = 53.69,P climate zones (0-14 years old:F = 26.80,P climate zones. Seasonal influenza primarily emerged in BWk, subsequently in Cfa and Cwa. Cfa, Cwa and BSk pose high risk for seasonal

关键词： Seasonal influenza koppen geiger climate zones classification system Chinese mainland Seasonality decomposition Local indicators of spatial association

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