Volume 26, Number 9—September 2020
Research
Risk-Based Estimate of Human Fungal Disease Burden, China
Table 1
Population characteristic | No., in thousands | Reference |
---|---|---|
Total population | 1,433,784 | UN, 2019 (9) |
Population of children 0–14 y | 254,930 | UN, 2020 (9) |
Female population, 15–49 y | 403,377 | UN, 2020 (9) |
Population >40 y | 688,074 | UN, 2020 (9) |
People living with HIV | 810 | UNAIDS, 2017 (10) |
Proportion of HIV patients on ART | 40% | UNAIDS, 2017 (10) |
Adults living with HIV and CD4 <200 cells/µL | 106 | Assumes a 5-y decline in immunity |
AIDS related deaths | 26 | UNAIDS, 2017 (10) |
Annual cases of TB | 856 | WHO 2017 (11) |
Annual cases of pulmonary TB who survive | 844 | WHO 2017 (11) |
Adults with asthma (4.2%) population | 49,512 | Huang, 2019 (13) |
Adults with COPD (7.2% of population) | 102,377 | Zhu, 2018 (14) |
Adults with COPD admitted to hospital each year (20.1%) | 29,382 | Zhu, 2018 (14) |
Lung cancer | 774.3 | GLOBOCAN, 2018 (1) |
Liver transplants per year | 4.73 | COTR (12) |
Renal transplants per year | 10.8 | COTR (12) |
Lung transplants per year | 0.3 | COTR (12) |
Heart transplants per year | 0.56 | COTR (12) |
Allogeneic stem cell transplants per year | 5.0 | Xu, 2016 (15) |
Acute myelogenous leukemia | 41.2 | 40% of GLOBOCAN leukemia and multiple myeloma total, 2018 (1) |
No. patients on peritoneal dialysis | 73.9 | Wilkie and Davies, 2017 (16) |
Intensive care unit beds | 86.0 | Murthy, 2012 (17) |
Intensive care admissions surviving >24 h | 5,126 | Du, 2013 (18) |
*ART, antiretroviral therapy; COPD, chronic obstructive pulmonary disease; COTR, China Organ Transplantation Registration System; TB, tuberculosis;
UN, United Nations Population Division; UNAIDS, the Joint Nations Program on HIV/AIDS; WHO, World Health Organization.
References
- Global Action Fund for Fungal Infections. Publications: key recent contributions to the academic literature and individual country burdens [cited 2019 Oct 7]. http://www.gaffi.org/media/academic-papers
- Song X, Xie L, Tan X, Wang Z, Yang Y, Yuan Y, et al. A multi-center, cross-sectional study on the burden of infectious keratitis in China. PLoS One. 2014;9:
e113843 . DOIPubMedGoogle Scholar - Hu Y, Zhang J, Li X, Yang Y, Zhang Y, Ma J, et al. Penicillium marneffei infection: an emerging disease in mainland China. Mycopathologia. 2013;175:57–67. DOIPubMedGoogle Scholar
- Pan B, Chen M, Pan W, Liao W. Histoplasmosis: a new endemic fungal infection in China? Review and analysis of cases. Mycoses. 2013;56:212–21. DOIPubMedGoogle Scholar
- The Lancet. GLOBOCAN 2018: counting the toll of cancer. Lancet. 2018;392:985. DOIPubMedGoogle Scholar
- Hung ML, Liao HT, Chen WS, Chen MH, Lai CC, Tsai CY, et al. Invasive aspergillosis in patients with systemic lupus erythematosus: a retrospective study on clinical characteristics and risk factors for mortality. Lupus. 2018;27:1944–52. DOIPubMedGoogle Scholar
- Chinese State Statistical Bureau. China Statistical Yearbook 2018 [cited 2019 Oct 7]. http://www.stats.gov.cn/tjsj/ndsj/2018/indexch.htm
- Wang C, Xu J, Yang L, Xu Y, Zhang X, Bai C, et al.; China Pulmonary Health Study Group. Prevalence and risk factors of chronic obstructive pulmonary disease in China (the China Pulmonary Health [CPH] study): a national cross-sectional study. Lancet. 2018;391:1706–17. DOIPubMedGoogle Scholar
- United Nations Population Division. World population prospects 2019 [cited 2019 Oct 7]. https://population.un.org/wpp/Download/Standard/Population
- UNAIDS. AIDS info: people living with AIDS receiving ART [cited 2019 Oct 7]. http://www.unaids.org/en/dataanalysis/datatools/aidsinfo
- World Health Organization. Tuberculosis country profiles [cited 2019 Oct 7]. http://www.who.int/tb/country/data/profiles/en/index.html
- Chinese Ministry of Health. China Organ Transplantation Registration System [cited 2019 Oct 7]. http://www.cotr.cn
- Huang K, Yang T, Xu J, Yang L, Zhao J, Zhang X, et al.; China Pulmonary Health (CPH) Study Group. Prevalence, risk factors, and management of asthma in China: a national cross-sectional study. Lancet. 2019;394:407–18. DOIPubMedGoogle Scholar
- Zhu B, Wang Y, Ming J, Chen W, Zhang L. Disease burden of COPD in China: a systematic review. Int J Chron Obstruct Pulmon Dis. 2018;13:1353–64. DOIPubMedGoogle Scholar
- Xu LP, Wu DP, Han MZ, Huang H, Liu QF, Liu DH, et al. A review of hematopoietic cell transplantation in China: data and trends during 2008–2016. Bone Marrow Transplant. 2017;52:1512–8. DOIPubMedGoogle Scholar
- Wilkie M, Davies S. Insights on peritoneal dialysis in China. Perit Dial Int. 2018;38(Suppl 2):S16–8. DOIPubMedGoogle Scholar
- Murthy S, Wunsch H. Clinical review: international comparisons in critical care—lessons learned. Crit Care. 2012;16:218. DOIPubMedGoogle Scholar
- Du B, An Y, Kang Y, Yu X, Zhao M, Ma X, et al.; China Critical Care Clinical Trial Group. Characteristics of critically ill patients in ICUs in mainland China. Crit Care Med. 2013;41:84–92. DOIPubMedGoogle Scholar
- Tan BH, Chakrabarti A, Li RY, Patel AK, Watcharananan SP, Liu Z, et al.; Asia Fungal Working Group (AFWG). Incidence and species distribution of candidaemia in Asia: a laboratory-based surveillance study. Clin Microbiol Infect. 2015;21:946–53. DOIPubMedGoogle Scholar
- Montravers P, Mira J-P, Gangneux J-P, Leroy O, Lortholary O; AmarCand study group. A multicentre study of antifungal strategies and outcome of Candida spp. peritonitis in intensive-care units. Clin Microbiol Infect. 2011;17:1061–7. DOIPubMedGoogle Scholar
- Hu S, Tong R, Bo Y, Ming P, Yang H. Fungal peritonitis dialysis: 5-year review from a North China center. Infection. 2019;47:35–43. DOIPubMedGoogle Scholar
- Denning DW, Kneale M, Sobel JD, Rautemaa-Richardson R. Global burden of recurrent vulvovaginal candidiasis: a systematic review. Lancet Infect Dis. 2018;18:e339–47. DOIPubMedGoogle Scholar
- Gamaletsou MN, Drogari-Apiranthitou M, Denning DW, Sipsas NV. An estimate of the burden of serious fungal diseases in Greece. Eur J Clin Microbiol Infect Dis. 2016;35:1115–20. DOIPubMedGoogle Scholar
- Matee MI, Scheutz F, Moshy J. Occurrence of oral lesions in relation to clinical and immunological status among HIV-infected adult Tanzanians. Oral Dis. 2000;6:106–11. DOIPubMedGoogle Scholar
- Chen CY, Sheng WH, Tien FM, Lee PC, Huang SY, Tang JL, et al. Clinical characteristics and treatment outcomes of pulmonary invasive fungal infection among adult patients with hematological malignancy in a medical centre in Taiwan, 2008–2013. J Microbiol Immunol Infect. 2020;53:106–14.DOIPubMedGoogle Scholar
- Yan X, Li M, Jiang M, Zou LQ, Luo F, Jiang Y. Clinical characteristics of 45 patients with invasive pulmonary aspergillosis: retrospective analysis of 1711 lung cancer cases. Cancer. 2009;115:5018–25. DOIPubMedGoogle Scholar
- Xu H, Li L, Huang WJ, Wang LX, Li WF, Yuan WF. Invasive pulmonary aspergillosis in patients with chronic obstructive pulmonary disease: a case control study from China. Clin Microbiol Infect. 2012;18:403–8. DOIPubMedGoogle Scholar
- Zhu B, Wang Y, Ming J, Chen W, Zhang L. Disease burden of COPD in China: a systematic review. Int J Chron Obstruct Pulmon Dis. 2018;13:1353–64. DOIPubMedGoogle Scholar
- Khoo S, Denning DW. Invasive aspergillosis in patients with AIDS. Clin Infect Dis. 1994;19(suppl1):S41–8.DOIPubMedGoogle Scholar
- Denning DW, Pleuvry A, Cole DC. Global burden of chronic pulmonary aspergillosis as a sequel to pulmonary tuberculosis. Bull World Health Organ. 2011;89:864–72. DOIPubMedGoogle Scholar
- Smith NL, Denning DW. Underlying conditions in chronic pulmonary aspergillosis including simple aspergilloma. Eur Respir J. 2011;37:865–72. DOIPubMedGoogle Scholar
- Ma YL, Zhang WB, Yu B, Chen YW, Mu S, Cui YL. Prevalence of allergic bronchopulmonary aspergillosis in Chinese patients with bronchial asthma [in Chinese]. Zhonghua Jie He He Hu Xi Za Zhi. 2011;34:909–13.PubMedGoogle Scholar
- Chen J, Zhang R, Shen Y, Liu L, Qi T, Wang Z, et al. Serum cryptococcal antigen titre as a diagnostic tool and a predictor of mortality in HIV-infected patients with cryptococcal meningitis. HIV Med. 2019;20:69–73. DOIPubMedGoogle Scholar
- Li Z, Liu Y, Cao H, Huang S, Long M. Epidemiology and clinical characteristics of cryptococcal meningitis in China (1981–2013): a review of the literature. Med Mycol: Open Access. 2017;3:1. DOIGoogle Scholar
- Guo J, Zhou J, Zhang S, Zhang X, Li J, Sun Y, et al. A case-control study of risk factors for HIV-negative children with cryptococcal meningitis in Shi Jiazhuang, China. BMC Infect Dis. 2012;12:376. DOIPubMedGoogle Scholar
- Chan CK, Alvarez Bognar F, Wong KH, Leung CC, Tam CM, Chan KC, et al. The epidemiology and clinical manifestations of human immunodeficiency virus-associated tuberculosis in Hong Kong. Hong Kong Med J. 2010;16:192–8.PubMedGoogle Scholar
- Guo F, Chen Y, Yang SL, Xia H, Li XW, Tong ZH. Pneumocystis pneumonia in HIV-infected and immunocompromised non-HIV infected patients: a retrospective study of two centers in China. PLoS One. 2014;9:
e101943 . DOIPubMedGoogle Scholar - Prakash H, Chakrabarti A. Global epidemiology of mucormycosis. J Fungi (Basel). 2019;5:26. DOIPubMedGoogle Scholar
- Sigurgeirsson B, Baran R. The prevalence of onychomycosis in the global population: a literature study. J Eur Acad Dermatol Venereol. 2014;28:1480–91. DOIPubMedGoogle Scholar
- United Nations Population Division. Demographic components of future population growth [cited 2019 Oct 7]. https://www.un.org/en/development/desa/population/theme/trends/dem-comp-change.asp
- Gong X, Luan T, Wu X, Li G, Qiu H, Kang Y, et al. Invasive candidiasis in intensive care units in China: risk factors and prognoses of Candida albicans and non-albicans Candida infections. Am J Infect Control. 2016;44:e59–63. DOIPubMedGoogle Scholar
- Alnuaimi AD, Wiesenfeld D, O’Brien-Simpson NM, Reynolds EC, McCullough MJ. Oral Candida colonization in oral cancer patients and its relationship with traditional risk factors of oral cancer: a matched case-control study. Oral Oncol. 2015;51:139–45. DOIPubMedGoogle Scholar
- Choi JH, Lee CG, Lim YJ, Kang HW, Lim CY, Choi JS. Prevalence and risk factors of esophageal candidiasis in healthy individuals: a single center experience in Korea. Yonsei Med J. 2013;54:160–5. DOIPubMedGoogle Scholar
- Yang CH, He XS, Chen J, Ouyang B, Zhu XF, Chen MY, et al. Fungal infection in patients after liver transplantation in years 2003 to 2012. Ann Transplant. 2012;17:59–63. DOIPubMedGoogle Scholar
- Zhang XD, Hu XP, Yin H, Wang W, Zhang X, Ma LL, et al. Aspergillus pneumonia in renal transplant recipients. Chin Med J (Engl). 2008;121:791–4. DOIPubMedGoogle Scholar
- Jiang YK, Wu JQ, Zhao HZ, Wang X, Wang RY, Zhou LH, et al. Genetic influence of Toll-like receptors on non-HIV cryptococcal meningitis: an observational cohort study. EBioMedicine. 2018;37:401–9. DOIPubMedGoogle Scholar
- Gumbo T, Kadzirange G, Mielke J, Gangaidzo IT, Hakim JG. Cryptococcus neoformans meningoencephalitis in African children with acquired immunodeficiency syndrome. Pediatr Infect Dis J. 2002;21:54–6. DOIPubMedGoogle Scholar
- Liu L, Guo L, Liu Y, Chen T, Li S, Yang Y, et al. Clinical characteristics and prognosis of pediatric cryptococcosis in Beijing Children’s Hospital, 2002–2014. Eur J Pediatr. 2017;176:1235–44. DOIPubMedGoogle Scholar
- Chen W, Ren K, Isabwe A, Chen H, Liu M, Yang J. Stochastic processes shape microeukaryotic community assembly in a subtropical river across wet and dry seasons. Microbiome. 2019;7:138. DOIPubMedGoogle Scholar
- Yang S, Wu J, Ding C, Cui Y, Zhou Y, Li Y, et al. Epidemiological features of and changes in incidence of infectious diseases in China in the first decade after the SARS outbreak: an observational trend study. Lancet Infect Dis. 2017;17:716–25. DOIPubMedGoogle Scholar
1These authors contributed equally to this article.
2These authors contributed equally to this article.
Page created: May 26, 2020
Page updated: August 18, 2020
Page reviewed: August 18, 2020
The conclusions, findings, and opinions expressed by authors contributing to this journal do not necessarily reflect the official position of the U.S. Department of Health and Human Services, the Public Health Service, the Centers for Disease Control and Prevention, or the authors' affiliated institutions. Use of trade names is for identification only and does not imply endorsement by any of the groups named above.