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Volume 17
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Article

Epidemiologic Characteristics of Domestic Patients with Hemorrhagic Fever with Renal Syndrome in Taiwan: A 19-Year Retrospective Study

by
Chi-Jeng Hsieh
1,
Chuan-Wang Li
2,3,
Chun-An Cheng
4,
Ding-Chung Wu
5,
Wen-Chih Wu
6,7,
Fu-Huang Lin
6,
Yu-Ching Chou
6,*,† and
Chia-Peng Yu
5,6,*,†
1
Department of Health Care Administration, Oriental Institute of Technology, New Taipei City 220, Taiwan
2
Department and Graduate Institute of Microbiology and Immunology, National Defense Medical Center, Taipei 114, Taiwan
3
Institute of Preventive Medicine, National Defense Medical Center, New Taipei City 237, Taiwan
4
Department of Neurology, Tri-Service General Hospital, National Defense Medical Center, Taipei 114, Taiwan
5
Department of Medical Records, Tri-Service General Hospital, National Defense Medical Center, Taipei 114, Taiwan
6
School of Public Health, National Defense Medical Center, Taipei 114, Taiwan
7
Department of Surgery, Suao and Yuanshan Branches of Taipei Veterans General Hospital, Taipei 270, Taiwan
*
Authors to whom correspondence should be addressed.
†
These authors contributed equally to this work.
Int. J. Environ. Res. Public Health 2020, 17(15), 5291; https://doi.org/10.3390/ijerph17155291
Submission received: 29 June 2020 / Revised: 21 July 2020 / Accepted: 21 July 2020 / Published: 22 July 2020
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Abstract

Background: Hemorrhagic fever with renal syndrome (HFRS) is an illness caused by hantaviruses. Numerous factors modify the risk of hantavirus transmission. This study explored the epidemiological characteristics, differences, and trends in terms of gender, age, season, and living areas of those diagnosed with domestically acquired HFRS in Taiwan from 2001 to 2019. Methods: We examined publicly available annual summary data on the domestic cases with HFRS from 2001 to 2019; these data were obtained from the web database of Taiwan’s Centers for Disease Control (CDC). Results: This study analyzed 21 domestic cases with HFRS from Taiwan’s CDC databases. In this study of the cases of HFRS in Taiwan, a gradual increase in the cases of those aged ≥40 years acquiring the disease was noted, and a distinct pattern of seasonal variation (spring) was observed. Furthermore, more men had domestically acquired HFRS, and living in Taipei metropolitan area (6 cases [28.6%]) and the rural areas (Gao-Ping region, 9 cases [42.9%]) was identified as a potential risk factor. This study represents the first report of confirmed cases of domestically acquired HFRS from surveillance data from Taiwan’s CDC, 2001–2019. Conclusion: This study highlights the importance of longitudinal studies covering a wide geographical area, particularly for highly fluctuating pathogens, to understanding the implications of the transmission of zoonotic diseases in human populations. Important data were identified to inform future surveillance and research efforts in Taiwan.
Keywords: hemorrhagic fever with renal syndrome (HFRS); hantavirus; longitudinal; surveillance hemorrhagic fever with renal syndrome (HFRS); hantavirus; longitudinal; surveillance

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MDPI and ACS Style

Hsieh, C.-J.; Li, C.-W.; Cheng, C.-A.; Wu, D.-C.; Wu, W.-C.; Lin, F.-H.; Chou, Y.-C.; Yu, C.-P. Epidemiologic Characteristics of Domestic Patients with Hemorrhagic Fever with Renal Syndrome in Taiwan: A 19-Year Retrospective Study. Int. J. Environ. Res. Public Health 2020, 17, 5291. https://doi.org/10.3390/ijerph17155291

AMA Style

Hsieh C-J, Li C-W, Cheng C-A, Wu D-C, Wu W-C, Lin F-H, Chou Y-C, Yu C-P. Epidemiologic Characteristics of Domestic Patients with Hemorrhagic Fever with Renal Syndrome in Taiwan: A 19-Year Retrospective Study. International Journal of Environmental Research and Public Health. 2020; 17(15):5291. https://doi.org/10.3390/ijerph17155291

Chicago/Turabian Style

Hsieh, Chi-Jeng, Chuan-Wang Li, Chun-An Cheng, Ding-Chung Wu, Wen-Chih Wu, Fu-Huang Lin, Yu-Ching Chou, and Chia-Peng Yu. 2020. "Epidemiologic Characteristics of Domestic Patients with Hemorrhagic Fever with Renal Syndrome in Taiwan: A 19-Year Retrospective Study" International Journal of Environmental Research and Public Health 17, no. 15: 5291. https://doi.org/10.3390/ijerph17155291

APA Style

Hsieh, C.-J., Li, C.-W., Cheng, C.-A., Wu, D.-C., Wu, W.-C., Lin, F.-H., Chou, Y.-C., & Yu, C.-P. (2020). Epidemiologic Characteristics of Domestic Patients with Hemorrhagic Fever with Renal Syndrome in Taiwan: A 19-Year Retrospective Study. International Journal of Environmental Research and Public Health, 17(15), 5291. https://doi.org/10.3390/ijerph17155291

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