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Landscape Elements and Hantaan Virus-related Hemorrhagic Fever with Renal Syndrome, People's Republic of China

Overview
Journal Emerg Infect Dis
Specialty Infectious Diseases
Date 2008 Feb 7
PMID 18252099
Citations 80
Authors
Lei Yan
Li-Qun Fang
Hua-guo Huang
Long-Qi Zhang
Dan Feng
Wen-Juan Zhao
Wen-Yi Zhang
Xiao-Wen Li
Wu-Chun Cao
Affiliations
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Abstract

Hemorrhagic fever with renal syndrome (HFRS) is an important public health problem in the People's Republic of China, accounting for 90% of human cases reported globally. In this study, a landscape epidemiologic approach, combined with geographic information system and remote sensing techniques, was applied to increase our understanding of HFRS due to Hantaan virus and its relationship with landscape elements in China. The landscape elements considered were elevation, normalized difference vegetation index (NDVI), precipitation, annual cumulative air temperature, land surface temperature, soil type, and land use. Multivariate logistic regression analysis showed that HFRS incidence was remarkably associated with elevation, NDVI, precipitation, annual cumulative air temperature, semihydromorphic soils, timber forests, and orchards. These findings have important applications for targeting HFRS interventions in mainland China.

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