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Author:

Lei, Hao (Lei, Hao.) | Zhang, Nan (Zhang, Nan.) (Scholars:张楠) | Xiao, Shenglan (Xiao, Shenglan.) | Zhuang, Linan (Zhuang, Linan.) | Yang, Xueze (Yang, Xueze.) | Chen, Tao (Chen, Tao.) | Yang, Lei (Yang, Lei.) | Wang, Dayan (Wang, Dayan.) | Li, Yuguo (Li, Yuguo.) | Shu, Yuelong (Shu, Yuelong.)

Indexed by:

Scopus SCIE

Abstract:

Exploring the relative role of different indoor environments in respiratory infections transmission remains unclear, which is crucial for developing targeted nonpharmaceutical interventions. In this study, a total of 2,583,441 influenza-like illness cases tested from 2010 to 2017 in China were identified. An agent-based model was built and calibrated with the surveillance data, to assess the roles of 3 age groups (children <19 years, younger adults 19-60 years, older adults >60 years) and 4 types of indoor environments (home, schools, workplaces, and community areas) in influenza transmission by province with varying urbanization rates. When the urbanization rates increased from 35% to 90%, the proportion of children aged <19 years among influenza cases decreased from 76% to 45%. Additionally, we estimated that infections originating from children decreased from 95.1% (95% confidence interval (CI): 92.7, 97.5) to 59.3% (95% CI: 49.8, 68.7). Influenza transmission in schools decreased from 80.4% (95% CI: 76.5, 84.3) to 36.6% (95% CI: 20.6, 52.5), while transmission in the community increased from 2.4% (95% CI: 1.9, 2.8) to 45.4% (95% CI: 35.9, 54.8). With increasing urbanization rates, community areas and younger adults contributed more to infection transmission. These findings could help the development of targeted public health policies. This article is part of a Special Collection on Environmental Epidemiology.

Keyword:

influenza age group indoor environments urbanization China

Author Community:

  • [ 1 ] [Lei, Hao]Zhejiang Univ, Sch Publ Hlth, Hangzhou, Peoples R China
  • [ 2 ] [Zhang, Nan]Beijing Univ Technol, Beijing Key Lab Green Built Environm & Energy Effi, Beijing, Peoples R China
  • [ 3 ] [Zhuang, Linan]Beijing Univ Technol, Beijing Key Lab Green Built Environm & Energy Effi, Beijing, Peoples R China
  • [ 4 ] [Yang, Xueze]Beijing Univ Technol, Beijing Key Lab Green Built Environm & Energy Effi, Beijing, Peoples R China
  • [ 5 ] [Lei, Hao]Sun Yat Sen Univ, Sch Publ Hlth Shenzhen, Shenzhen Campus, Shenzhen 518107, Peoples R China
  • [ 6 ] [Xiao, Shenglan]Sun Yat Sen Univ, Sch Publ Hlth Shenzhen, Shenzhen Campus, Shenzhen 518107, Peoples R China
  • [ 7 ] [Shu, Yuelong]Sun Yat Sen Univ, Sch Publ Hlth Shenzhen, Shenzhen Campus, Shenzhen 518107, Peoples R China
  • [ 8 ] [Chen, Tao]Chinese Ctr Dis Control & Prevent, Natl Inst Viral Dis Control & Prevent, Beijing, Peoples R China
  • [ 9 ] [Yang, Lei]Chinese Ctr Dis Control & Prevent, Natl Inst Viral Dis Control & Prevent, Beijing, Peoples R China
  • [ 10 ] [Wang, Dayan]Chinese Ctr Dis Control & Prevent, Natl Inst Viral Dis Control & Prevent, Beijing, Peoples R China
  • [ 11 ] [Chen, Tao]Natl Hlth Commiss, Key Lab Med Virol, Beijing, Peoples R China
  • [ 12 ] [Yang, Lei]Natl Hlth Commiss, Key Lab Med Virol, Beijing, Peoples R China
  • [ 13 ] [Wang, Dayan]Natl Hlth Commiss, Key Lab Med Virol, Beijing, Peoples R China
  • [ 14 ] [Li, Yuguo]Univ Hong Kong, Dept Mech Engn, Pokfulam, Hong Kong, Peoples R China

Reprint Author's Address:

  • [Lei, Hao]Sun Yat Sen Univ, Sch Publ Hlth Shenzhen, Shenzhen Campus, Shenzhen 518107, Peoples R China;;[Shu, Yuelong]Sun Yat Sen Univ, Sch Publ Hlth Shenzhen, Shenzhen Campus, Shenzhen 518107, Peoples R China;;

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Source :

AMERICAN JOURNAL OF EPIDEMIOLOGY

ISSN: 0002-9262

Year: 2023

Issue: 4

Volume: 193

Page: 596-605

Cited Count:

WoS CC Cited Count: 0

SCOPUS Cited Count: 2

ESI Highly Cited Papers on the List: 0 Unfold All

WanFang Cited Count:

Chinese Cited Count:

30 Days PV: 2

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