Landscape elements and Hantaan virus-related hemorrhagic fever with renal syndrome, People's Republic of China.
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.
Yan
Lei
L
State Key Laboratory of Remote Sensing Science, IRSA/CAS, Beijing, People's Republic of China.
Fang
Li-Qun
LQ
Huang
Hua-Guo
HG
Zhang
Long-Qi
LQ
Feng
Dan
D
Zhao
Wen-Juan
WJ
Zhang
Wen-Yi
WY
Li
Xiao-Wen
XW
Cao
Wu-Chun
WC
D000531:Altitude; D000818:Animals; D002681:China / Q000453:epidemiology; D002980:Climate; D017753:Ecosystem; D018063:Hantaan virus; D006480:Hemorrhagic Fever with Renal Syndrome / Q000453:epidemiology*; D006801:Humans; D051189:Murinae / Q000821:virology; D011891:Rain; D051381:Rats; D012307:Risk Factors; D013696:Temperature