Spatiotemporal clustering of anthrax and molecular typing of Bacillus anthracis in Ningxia Hui Autonomous Region, 2019 – 2022

ObjectiveTo analyze the spatiotemporal clustering of anthrax cases in the Ningxia Hui Autonomous Region from 2019 to 2022 and to perform molecular typing of 14 strains of Bacillus anthracis (B. anthracis) isolated during the same period. MethodsData on anthrax cases reported in Ningxia Hui Autonomou...

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Main Authors: Ran XIAN, Cong YANG, Jianwei GAO, Lei GAO, Qian CHEN, Yu ZHAO, Wenhe KUAI, Haohao FAN, Xiaodi LI, Jiangtao MA
Format: Article
Language:zho
Published: Editorial Office of Chinese Journal of Public Health 2024-10-01
Series:Zhongguo gonggong weisheng
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Online Access:https://www.zgggws.com/article/doi/10.11847/zgggws1144025
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author Ran XIAN
Cong YANG
Jianwei GAO
Lei GAO
Qian CHEN
Yu ZHAO
Wenhe KUAI
Haohao FAN
Xiaodi LI
Jiangtao MA
author_facet Ran XIAN
Cong YANG
Jianwei GAO
Lei GAO
Qian CHEN
Yu ZHAO
Wenhe KUAI
Haohao FAN
Xiaodi LI
Jiangtao MA
author_sort Ran XIAN
collection DOAJ
description ObjectiveTo analyze the spatiotemporal clustering of anthrax cases in the Ningxia Hui Autonomous Region from 2019 to 2022 and to perform molecular typing of 14 strains of Bacillus anthracis (B. anthracis) isolated during the same period. MethodsData on anthrax cases reported in Ningxia Hui Autonomous Region (Ningxia) from 2019 to 2022 were collected, and spatiotemporal cluster analysis was performed using SaTScan software with districts and counties as units. A total of 14 strains of B. anthracis isolated from local anthrax cases from 2019 to 2021 were subjected to molecular typing analysis using canonical single nucleotide polymorphisms (CanSNPs), twenty-five marker multilocus variable number tandem repeat analysis (MLVA-25), and single nucleotide repeat (SNR-4) methods. ResultsA total of 80 anthrax cases, all of which were cutaneous anthrax, were reported in Ningxia during the 3-year period. SaTScan spatiotemporal cluster analysis revealed a spatiotemporal cluster in north-central Ningxia from 2021 to 2022, with a primary cluster in Yongning county [P < 0.01, relative risk (RR) = 13.83] and secondary clusters in Lingwu city and Litong district (P = 0.022, RR = 3.47). The genetic relationships of the 14 B. anthracis strains isolated during the same period were defined as: A.Br 001/002 subgroup, 6 different MLVA genotypes within A3.b gene cluster, of which 3 common genotypes were defined as 2, 3, and 5 PHANA genotypes, respectively, by SNR-4 analysis; SNR-4 analysis showed 12 SNR genotypes. ConclusionThe incidence of anthrax in Ningxia showed an increasing trend from 2019 to 2022. One of the reasons for the formation of spatiotemporal clusters of anthrax in 2021 – 2022 may be the formation and development of natural foci. Molecular typing revealed that the genetic relationship of the strains isolated in Ningxia from 2019 to 2022 was relatively homogeneous, with abundant genetic diversity within the same genetic relationship.
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publisher Editorial Office of Chinese Journal of Public Health
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series Zhongguo gonggong weisheng
spelling doaj-art-2cae7e80c8d640dca06ab71e17a106322025-01-23T05:11:54ZzhoEditorial Office of Chinese Journal of Public HealthZhongguo gonggong weisheng1001-05802024-10-0140101235124310.11847/zgggws11440251144025Spatiotemporal clustering of anthrax and molecular typing of Bacillus anthracis in Ningxia Hui Autonomous Region, 2019 – 2022Ran XIAN0Cong YANG1Jianwei GAO2Lei GAO3Qian CHEN4Yu ZHAO5Wenhe KUAI6Haohao FAN7Xiaodi LI8Jiangtao MA9Ningxia Center for Disease Control and Prevention, Yinchuan 750004, ChinaNingxia Center for Disease Control and Prevention, Yinchuan 750004, ChinaNingxia Center for Disease Control and Prevention, Yinchuan 750004, ChinaNingxia Center for Disease Control and Prevention, Yinchuan 750004, ChinaNingxia Center for Disease Control and Prevention, Yinchuan 750004, ChinaDepartment of Epidemiology and Health Statistics, School of Public Health, Ningxia Medical University, Yinchuan 750001, ChinaNingxia Center for Disease Control and Prevention, Yinchuan 750004, ChinaNingxia Center for Disease Control and Prevention, Yinchuan 750004, ChinaNingxia Center for Disease Control and Prevention, Yinchuan 750004, ChinaNingxia Center for Disease Control and Prevention, Yinchuan 750004, ChinaObjectiveTo analyze the spatiotemporal clustering of anthrax cases in the Ningxia Hui Autonomous Region from 2019 to 2022 and to perform molecular typing of 14 strains of Bacillus anthracis (B. anthracis) isolated during the same period. MethodsData on anthrax cases reported in Ningxia Hui Autonomous Region (Ningxia) from 2019 to 2022 were collected, and spatiotemporal cluster analysis was performed using SaTScan software with districts and counties as units. A total of 14 strains of B. anthracis isolated from local anthrax cases from 2019 to 2021 were subjected to molecular typing analysis using canonical single nucleotide polymorphisms (CanSNPs), twenty-five marker multilocus variable number tandem repeat analysis (MLVA-25), and single nucleotide repeat (SNR-4) methods. ResultsA total of 80 anthrax cases, all of which were cutaneous anthrax, were reported in Ningxia during the 3-year period. SaTScan spatiotemporal cluster analysis revealed a spatiotemporal cluster in north-central Ningxia from 2021 to 2022, with a primary cluster in Yongning county [P < 0.01, relative risk (RR) = 13.83] and secondary clusters in Lingwu city and Litong district (P = 0.022, RR = 3.47). The genetic relationships of the 14 B. anthracis strains isolated during the same period were defined as: A.Br 001/002 subgroup, 6 different MLVA genotypes within A3.b gene cluster, of which 3 common genotypes were defined as 2, 3, and 5 PHANA genotypes, respectively, by SNR-4 analysis; SNR-4 analysis showed 12 SNR genotypes. ConclusionThe incidence of anthrax in Ningxia showed an increasing trend from 2019 to 2022. One of the reasons for the formation of spatiotemporal clusters of anthrax in 2021 – 2022 may be the formation and development of natural foci. Molecular typing revealed that the genetic relationship of the strains isolated in Ningxia from 2019 to 2022 was relatively homogeneous, with abundant genetic diversity within the same genetic relationship.https://www.zgggws.com/article/doi/10.11847/zgggws1144025anthraxtwenty-five marker multi-locus variable number tandem repeat analysiscanonical single nucleotide polymorphismssingle nucleotide repeatspatiotemporal cluster analysisningxia hui autonomous region
spellingShingle Ran XIAN
Cong YANG
Jianwei GAO
Lei GAO
Qian CHEN
Yu ZHAO
Wenhe KUAI
Haohao FAN
Xiaodi LI
Jiangtao MA
Spatiotemporal clustering of anthrax and molecular typing of Bacillus anthracis in Ningxia Hui Autonomous Region, 2019 – 2022
Zhongguo gonggong weisheng
anthrax
twenty-five marker multi-locus variable number tandem repeat analysis
canonical single nucleotide polymorphisms
single nucleotide repeat
spatiotemporal cluster analysis
ningxia hui autonomous region
title Spatiotemporal clustering of anthrax and molecular typing of Bacillus anthracis in Ningxia Hui Autonomous Region, 2019 – 2022
title_full Spatiotemporal clustering of anthrax and molecular typing of Bacillus anthracis in Ningxia Hui Autonomous Region, 2019 – 2022
title_fullStr Spatiotemporal clustering of anthrax and molecular typing of Bacillus anthracis in Ningxia Hui Autonomous Region, 2019 – 2022
title_full_unstemmed Spatiotemporal clustering of anthrax and molecular typing of Bacillus anthracis in Ningxia Hui Autonomous Region, 2019 – 2022
title_short Spatiotemporal clustering of anthrax and molecular typing of Bacillus anthracis in Ningxia Hui Autonomous Region, 2019 – 2022
title_sort spatiotemporal clustering of anthrax and molecular typing of bacillus anthracis in ningxia hui autonomous region 2019 2022
topic anthrax
twenty-five marker multi-locus variable number tandem repeat analysis
canonical single nucleotide polymorphisms
single nucleotide repeat
spatiotemporal cluster analysis
ningxia hui autonomous region
url https://www.zgggws.com/article/doi/10.11847/zgggws1144025
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