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Epidemiological characteristics of pulmonary tuberculosis in Anhui Province, Eastern China from 2013 to 2018
Author(s) -
Qingqing Zhu,
Qian Wu,
Aimin Wang,
Fangjin Bao,
Yongzhong Zhang,
Jie Liu,
Junwei Yan,
Xue-Hui Fang,
Ling Li,
Zekun Zhang,
Rong Wang,
Xiaoyi Bao,
Song Yao,
HaiFeng Pan
Publication year - 2020
Publication title -
plos one
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.99
H-Index - 332
ISSN - 1932-6203
DOI - 10.1371/journal.pone.0237311
Subject(s) - epidemiology , tuberculosis , extensively drug resistant tuberculosis , china , pulmonary tuberculosis , environmental health , medicine , geography , mycobacterium tuberculosis , pathology , archaeology
Objective Pulmonary tuberculosis (TB) is a severe infectious respiratory disease, the burden of which remains high in China. To provide scientific evidence for developing more targeted prevention and control strategies, this study aimed to determine the incidence trends and explore the epidemiological characteristics of pulmonary TB in Anhui Province, Eastern China between 2013 and 2018. Methods The retrospective study analyzed information regarding pulmonary TB cases reported by the National Infectious Disease Reporting System and census data collected from the Anhui Provincial Bureau of Statistics. Results Overall, 211,892 cases of TB patients were reported in Anhui Province, China between 2013 and 2018, with an average annual reported incidence rate of 57.7 per 100,000 persons. A significant decrease in the incidence rate of pulmonary TB ( p < 0.001) was observed during the study period. Men had a higher incidence rate of pulmonary TB than women ( p < 0.001). The highest annual average reported incidence rate was 204.2 per 100,000 persons in those aged 70–74 years. The number of farmers with pulmonary TB, i.e., 155,415, accounted for 73.4% of all cases. Moreover, the peak period of reported cases was from January to March. Four cities along the Yangtze River—Anqing, Tongling, Chizhou, and Wuhu—reported significantly higher incidence rates of pulmonary TB than other cities ( p < 0.001). Conclusions From 2013 to 2018, there was a significant decline in the incidence rate of pulmonary TB in Anhui Province, with peaks occurring from January to March. Prevention and control strategies targeting men, people aged 70–74 years, farmers, and the four cities along the Yangtze River should be strengthened.

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