title: Transmission of haemorrhagic fever with renal syndrome in china and the role of climate factors: a review.
abstract: Haemorrhagic fever with renal syndrome (HFRS) is a rodent-borne disease that poses a serious public health threat in China. HFRS is caused by hantaviruses, mainly Seoul virus in urban areas and Hantaan virus in agricultural areas. Although preventive measures including vaccination programs and rodent control measures have resulted in a decline in cases in recent years, there has been an increase in incidence in some areas and new endemic areas have emerged. This review summarises the recent literature relating to the effects of climatic factors on the incidence of HFRS in China and discusses future research directions. Temperature, precipitation and humidity affect crop yields, rodent breeding patterns and disease transmission, and these can be influenced by a changing climate. Detailed surveillance of infections caused by Hantaan and Seoul viruses and further research on the viral agents will aid in interpretation of spatiotemporal patterns and a better understanding of the environmental and ecological drivers of HFRS amid China's rapidly urbanising landscape and changing climate.
authors.affiliation: Discipline of Public Health, The University of Adelaide, Mail Drop 650 207, Adelaide, South Australia, 5005, Australia. Electronic address: alana.hansen@adelaide.edu.au.
authors.forename: Alana
authors.initials: A
authors.lastname: Hansen
authors.affiliation: Discipline of Public Health, The University of Adelaide, Mail Drop 650 207, Adelaide, South Australia, 5005, Australia. Electronic address: scott.cameron@adelaide.edu.au.
authors.forename: Scott
authors.initials: S
authors.lastname: Cameron
authors.affiliation: Department of Vector Biology and Control, National Institute for Communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, China. Electronic address: liuqiyong@icdc.cn.
authors.forename: Qiyong
authors.initials: Q
authors.lastname: Liu
authors.affiliation: Department of Epidemiology, Anhui Medical University, Hefei, Anhui, China. Electronic address: sun611007@163.com.
authors.forename: Yehuan
authors.initials: Y
authors.lastname: Sun
authors.affiliation: School of Biological Sciences, The University of Adelaide, Adelaide, South Australia, 5005, Australia. Electronic address: philip.weinstein@unisa.edu.au.
authors.forename: Philip
authors.initials: P
authors.lastname: Weinstein
authors.affiliation: Sansom Institute for Health Research, University of South Australia, Adelaide, South Australia, 5000, Australia. Electronic address: craig.williams@unisa.edu.au.
authors.forename: Craig
authors.initials: C
authors.lastname: Williams
authors.affiliation: Communications & Media Studies, School of Media, Film and Journalism, Monash University, Clayton, Victoria, 3800, Australia. Electronic address: gil-soo.han@monash.edu.
authors.forename: Gil-Soo
authors.initials: GS
authors.lastname: Han
authors.affiliation: Discipline of Public Health, The University of Adelaide, Mail Drop 650 207, Adelaide, South Australia, 5005, Australia. Electronic address: peng.bi@adelaide.edu.au.
authors.forename: Peng
authors.initials: P
authors.lastname: Bi
mesh_terms: D002681:China / Q000453:epidemiology; D002980:Climate; D006480:Hemorrhagic Fever with Renal Syndrome / Q000453:epidemiology* / Q000635:transmission*; D006801:Humans; D006813:Humidity; D015994:Incidence; D011891:Rain; D013696:Temperature
keywords: China; Haemorrhagic fever with renal syndrome; climate change; surveillance