Epidemiologic Changes of Scrub Typhus in China, 1952–2016
Zhongjie Li
1, Hualei Xin
1, Junling Sun
1, Shengjie Lai, Lingjia Zeng, Canjun Zheng, Sarah E. Ray, Nicole Davis Weaver, Liping Wang, Jianxing Yu
, Zijian Feng
2, Simon I. Hay, and George F. Gao
2
Author affiliations: Chinese Center for Disease Control and Prevention, Beijing, China (Z. Li, H. Xin, S. Lai, L. Zeng, C. Zheng, L. Wang, J. Yu, Z. Feng, G.F. Gao); Qingdao City Center for Disease Control and Prevention, Shandong, China (H. Xin); University of Southampton, Southampton, UK (S. Lai); University of Washington, Seattle, Washington, USA (S.E. Ray, N.D. Weaver, S.I. Hay); Chinese Academy of Sciences, Beijing (G.F. Gao)
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Figure 5
Figure 5. Seasonal characteristics of scrub typhus in China, 2006–2016. A) The weekly number of scrub typhus in year 2016, with a fitted seasonal curve superimposed, by epidemiologic regions identified. B) Duration and peak of scrub typhus seasons in epidemiologic regions. Scrub typhus season was defined as starting with the week in which a fast increase of average weekly case numbers began and ending with the week that the cumulative case numbers captured in the interval between the start and end accounted for >95% of the reported cases in 2006–2016. The colored dot in each region indicates the week with the highest predicted number of scrub typhus cases in the fitted seasonal curve (the peak). The colored bar indicates the number of weeks between season start and end (duration).
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