Neglected Urban Villages in Current Vector Surveillance System: Evidences in Guangzhou, China

Comparison of falls and risk factors among older adults in urban villages, urban and rural areas of Shantou, China

Objective

To investigate and compare the differences between the incidence of falls, balance and living environment among older persons in urban villages and other types of residential areas.

Methods

We surveyed 580 older adults living in different types of residential areas in Shantou, China, surveying basic information, fall incidence, balance ability testing of older persons, home environment safety assessment.

Results

The incidence of falls among older people in urban villages (19.54 %) was between urban areas(26.63 %) and rural areas(16.91 %). The influencing factors of falls in different residential types were different. Near-fall, abnormal bowel movement, and impaired balance ability were the risk factors of falls among older persons in urban villages. Divorce/single, fair and poor hearing loss and near-fall were the risk factors of falls in urban older adults. Frailty and impaired balance ability were the risk factors of falls in rural older people.

Conclusions

Risk factors for falls in older people vary according to the characteristics of their living areas and relevant interventions should be targeted according to the characteristics of falls occurring in different residential areas.

Influences of Differentiated Residence and Workplace Location on the Identification of Spatiotemporal Patterns of Dengue Epidemics: A Case Study in Guangzhou, China

The location of the infections is the basic data for precise prevention and control of dengue fever (DF). However, most studies default to residence address as the place of infection, ignoring the possibility that cases are infected at other places (e.g., workplace address). This study aimed to explore the spatiotemporal patterns of DF in Guangzhou from 2016 to 2018, differentiating workplace and residence. In terms of temporal and spatial dimensions, a case weight assignment method that differentiates workplace and residence location was proposed, taking into account the onset of cases around their workplace and residence. Logistic modeling was used to classify the epidemic phases. Spatial autocorrelation analysis was used to reveal the high and early incidence areas of DF in Guangzhou from 2016 to 2018. At high temporal resolution, the DF in Guangzhou has apparent phase characteristics and is consistent with logistic growth. The local epidemic is clustered in terms of the number of cases and the time of onset and outbreak. High and early epidemic areas are mainly distributed in the central urban areas of Baiyun, Yuexiu, Liwan and Haizhu districts. The high epidemic areas due to commuting cases can be further identified after considering the workplaces of cases. Improving the temporal resolution and differentiating the workplace and residence address of cases could help to improve the identification of early and high epidemic areas in analyzing the spatiotemporal patterns of dengue fever in Guangzhou, which could more reasonably reflect the spatiotemporal patterns of DF in the study area.

Effects of Overwintering on the Survival and Vector Competence of Aedes albopictus in the Urban Life Cycle of Dengue Virus in Guangzhou, China

The Pearl River Delta, where Aedes albopictus (Ae. albopictus) is the only vector for dengue transmission, has exhibited one of the highest dengue burdens in southern China in recent decades. However, whether dengue virus (DENV) can overwinter in Ae. albopictus in the Pearl River Delta has not been determined to date. In this study, 300 field-derived Ae. albopictus mosquitoes from Guangzhou that were infected with the predominant endemic DENV-1 strain were investigated under simulated urban balcony environment from October 16, 2016, to June 16, 2017. The vertical transmission of DENV in the infected overwintering Ae. albopictus was analyzed. The DENV infected overwintering mosquitoes were evaluated for viral load at nine-time points using reverse transcription-quantitative PCR. The vector competence of the infected overwintering Ae. albopictus was also investigated by using suckling mice. Adult mosquitoes and larvae were found during the observation period. The vertical transmission of DENV-1 was documented. The DENV-1-positive rates between overwintering males and females had no difference. The proportion of DENV-1-positive overwintering mosquitoes decreased over time and had no difference beyond three months after the experiment. Overwintering mosquitoes can spread DENV-1 to hosts. No engorged mosquitoes at an ambient temperature below 15 °C were observed. The ratio of engorged mosquitoes was positively correlated with the ambient temperature ranging from 15 to 30 °C. Our results demonstrated that DENV can overwinter in Ae. albopictus in the Pearl River Delta, Ae. albopictus is the competent vector for DENV, and maintain autochthonous dengue outbreaks in the Pearl River Delta through vertical transmission.