Prevalence and prediction of Lyme disease in Hainan province.

Lyme disease (LD) is one of the most important vector-borne diseases worldwide. However, there is limited information on the prevalence and risk analysis using correlated factors in the tropical areas. A total of 1583 serum samples, collected from five hospitals of Hainan Province, were tested by im...

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Main Authors: Lin Zhang, Xiong Zhu, Xuexia Hou, Huan Li, Xiaona Yang, Ting Chen, Xiaoying Fu, Guangqing Miao, Qin Hao, Sha Li
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2021-03-01
Series:PLoS Neglected Tropical Diseases
Online Access:https://journals.plos.org/plosntds/article/file?id=10.1371/journal.pntd.0009158&type=printable
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author Lin Zhang
Xiong Zhu
Xuexia Hou
Huan Li
Xiaona Yang
Ting Chen
Xiaoying Fu
Guangqing Miao
Qin Hao
Sha Li
author_facet Lin Zhang
Xiong Zhu
Xuexia Hou
Huan Li
Xiaona Yang
Ting Chen
Xiaoying Fu
Guangqing Miao
Qin Hao
Sha Li
author_sort Lin Zhang
collection DOAJ
description Lyme disease (LD) is one of the most important vector-borne diseases worldwide. However, there is limited information on the prevalence and risk analysis using correlated factors in the tropical areas. A total of 1583 serum samples, collected from five hospitals of Hainan Province, were tested by immunofluorescence assay (IFA) and western blot (WB) analyses using anti-Borrelia burgdorferi antibodies. Then, we mapped the distribution of positive rate (by IFA) and the spread of confirmed Lyme patients (by WB). Using ArcGIS, we compiled host-vector-human interactions and correlated data as risk factor layers to predict LD risk in Hainan Province. There are three LD hotspots, designated hotspot I, which is located in central Hainan, hotspot II, which contains Sanya district, and hotspot III, which lies in the Haikou-Qiongshan area. The positive rate (16.67% by IFA) of LD in Qiongzhong, located in hotspot I, was higher than that in four other areas. Of confirmed cases of LD, 80.77% of patients (42/52) whose results had been confirmed by WB were in hotspots I and III. Hotspot II, with unknowed prevalence of LD, need to be paid more attention considering human-vector interaction. Wuzhi and Limu mountains might be the most important areas for the prevalence of LD, as the severe host-vector and human-vector interactions lead to a potential origin site for LD. Qiongzhong is the riskiest area and is located to the east of Wuzhi Mountain. In the Sanya and Haikou-Qiongshan area, intervening in the human-vector interaction would help control the prevalence of LD.
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1935-2735
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spelling doaj-art-9021998de80f4c09bc465bab57e72ea52025-08-20T02:17:49ZengPublic Library of Science (PLoS)PLoS Neglected Tropical Diseases1935-27271935-27352021-03-01153e000915810.1371/journal.pntd.0009158Prevalence and prediction of Lyme disease in Hainan province.Lin ZhangXiong ZhuXuexia HouHuan LiXiaona YangTing ChenXiaoying FuGuangqing MiaoQin HaoSha LiLyme disease (LD) is one of the most important vector-borne diseases worldwide. However, there is limited information on the prevalence and risk analysis using correlated factors in the tropical areas. A total of 1583 serum samples, collected from five hospitals of Hainan Province, were tested by immunofluorescence assay (IFA) and western blot (WB) analyses using anti-Borrelia burgdorferi antibodies. Then, we mapped the distribution of positive rate (by IFA) and the spread of confirmed Lyme patients (by WB). Using ArcGIS, we compiled host-vector-human interactions and correlated data as risk factor layers to predict LD risk in Hainan Province. There are three LD hotspots, designated hotspot I, which is located in central Hainan, hotspot II, which contains Sanya district, and hotspot III, which lies in the Haikou-Qiongshan area. The positive rate (16.67% by IFA) of LD in Qiongzhong, located in hotspot I, was higher than that in four other areas. Of confirmed cases of LD, 80.77% of patients (42/52) whose results had been confirmed by WB were in hotspots I and III. Hotspot II, with unknowed prevalence of LD, need to be paid more attention considering human-vector interaction. Wuzhi and Limu mountains might be the most important areas for the prevalence of LD, as the severe host-vector and human-vector interactions lead to a potential origin site for LD. Qiongzhong is the riskiest area and is located to the east of Wuzhi Mountain. In the Sanya and Haikou-Qiongshan area, intervening in the human-vector interaction would help control the prevalence of LD.https://journals.plos.org/plosntds/article/file?id=10.1371/journal.pntd.0009158&type=printable
spellingShingle Lin Zhang
Xiong Zhu
Xuexia Hou
Huan Li
Xiaona Yang
Ting Chen
Xiaoying Fu
Guangqing Miao
Qin Hao
Sha Li
Prevalence and prediction of Lyme disease in Hainan province.
PLoS Neglected Tropical Diseases
title Prevalence and prediction of Lyme disease in Hainan province.
title_full Prevalence and prediction of Lyme disease in Hainan province.
title_fullStr Prevalence and prediction of Lyme disease in Hainan province.
title_full_unstemmed Prevalence and prediction of Lyme disease in Hainan province.
title_short Prevalence and prediction of Lyme disease in Hainan province.
title_sort prevalence and prediction of lyme disease in hainan province
url https://journals.plos.org/plosntds/article/file?id=10.1371/journal.pntd.0009158&type=printable
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