Epidemiological features and trends in the mortality rates of 10 notifiable respiratory infectious diseases in China from 2004 to 2020

Based on national surveillance

Bibliographic Data

ID22068802
AuthorsNa Zhao (0000-0003-1892-567X, Anhui Normal University), Supen Wang (0000-0002-9522-9005, Anhui Normal University), Lan Wang (0000-0001-6843-476X, First Affiliated Hospital Zhejiang University), Yingying Shi (0000-0001-8184-0834, Anhui Normal University), Yixin Jiang (0009-0000-3823-9875, Anhui Normal University), Tzu‐Jung Tseng (Research Center for Humanities and Social Sciences, Academia Sinica), Tzu-Jung Tseng (0000-0002-1628-9852), Shelan Liu (0000-0003-2053-0941, Zhejiang Center for Disease Control and Prevention, corresponding author), Ta‐chien Chan (0000-0002-1685-783X, Research Center for Humanities and Social Sciences, Academia Sinica, corresponding author), Ta-Chien Chan, Zhiruo Zhang (0000-0002-3788-3703, Shanghai Jiao Tong University, corresponding author)
Year2023
Volume11
Pages1102747-1102747
Publication date2023-02-17
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueFrontiers in Public Health (JOURNAL)
Journal identifiersISSN: 2296-2565 • E-ISSN: 2296-2565
PublisherFrontiers Media SA (PUBLISHER • CH)
DOI10.3389/fpubh.2023.1102747
PMID36875408
OpenAlexW4321250411
LanguageEN
Citations received3
References cited57

Objectives The aim of this study is to describe, visualize, and compare the trends and epidemiological features of the mortality rates of 10 notifiable respiratory infectious diseases in China from 2004 to 2020. Setting Data were obtained from the database of the National Infectious Disease Surveillance System (NIDSS) and reports released by the National and local Health Commissions from 2004 to 2020. Spearman correlations and Joinpoint regression models were used to quantify the temporal trends of RIDs by calculating annual percentage changes (APCs) in the rates of mortality. Results The overall mortality rate of RIDs was stable across China from 2004 to 2020 ( R = −0.38, P = 0.13), with an APC per year of −2.2% (95% CI: −4.6 to 0.3; P = 0.1000). However, the overall mortality rate of 10 RIDs in 2020 decreased by 31.80% ( P = 0.006) compared to the previous 5 years before the COVID-19 pandemic. The highest mortality occurred in northwestern, western, and northern China. Tuberculosis was the leading cause of RID mortality, and mortality from tuberculosis was relatively stable throughout the 17 years (R = −0.36, P = 0.16), with an APC of −1.9% (95% CI −4.1 to 0.4, P = 0.1000). Seasonal influenza was the only disease for which mortality significantly increased ( R = 0.73, P = 0.00089), with an APC of 29.70% (95% CI 16.60–44.40%; P = 0.0000). The highest yearly case fatality ratios (CFR) belong to avian influenza A H5N1 [687.5 per 1,000 (33/48)] and epidemic cerebrospinal meningitis [90.5748 per 1,000 (1,010/11,151)]. The age-specific CFR of 10 RIDs was highest among people over 85 years old [13.6551 per 1,000 (2,353/172,316)] and was lowest among children younger than 10 years, particularly in 5-year-old children [0.0552 per 1,000 (58/1,051,178)]. Conclusions The mortality rates of 10 RIDs were relatively stable from 2004 to 2020 with significant differences among Chinese provinces and age groups. There was an increased mortality trend for seasonal influenza and concerted efforts are needed to reduce the mortality rate of seasonal influenza in the future

Case fatality rate · China · Disease · Disease surveillance · Environmental health · Geography · Mortality rate · Notifiable disease · Pandemic · Pathology · Public health · Tuberculosis · Demography · Immune responses and vaccinations · Influenza Virus Research Studies · Medicine · Respiratory viral infections research · Epidemiology · Internal Medicine

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