Key result
Japanese encephalitis vaccine distribution was negatively correlated with JE incidence rates in Guizhou Province from 1971 to 2009 (r=-0.475, P<0.01).
Why the study?
Does JE vaccination correlate with reduced JE incidence rates in Guizhou Province, China?
Observational (n=68,425)
Yes
Does JE vaccination correlate with reduced JE incidence rates in Guizhou Province, China?
Effect estimate: r=-0.475
p-value: p=<0.01
JE incidence in Guizhou Province declined significantly from 1971 to 2009, correlating with the distribution of JE vaccines to at-risk children.
Supports JE vaccine programs in endemic regions; leaves open causality and should not yet change practice.
OBJECTIVE: The aim of the study was to establish the contemporary epidemiological characteristics of Japanese encephalitis (JE) in Guizhou Province. METHODS: A retrospective study of National Notifiable Disease Reporting System (NNDRS) data from 1971 through 2009, was conducted to ascertain the geographical, seasonal, and age distributions of JE incidence in Guizhou Province, China. RESULTS: A total of 68 425 JE cases were reported in Guizhou from 1971-2009. The JE cases occurred sporadically in all 9 prefectures of Guizhou, mostly among residents of rural areas. Seasonal distribution of JE remained consistent over the period from 1971-2009 with the main transmission season starting from June to September and peaking in August. JE occurred mainly in children under the age of 15 years with peak incidence in the 0-6-year age group. Pearson's correlation analysis showed that JE vaccine distribution had a negative correlation with JE incidence rates during 1971-2009 (coefficient of correlation=-0.475, P<0.01). CONCLUSION: Over the period of 1971-2009, the JE incidence rate had declined dramatically in terms of geographical and age distributions due to JE vaccination to children at risk.
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Zhang et al. (2012) conducted an observational in Japanese encephalitis (n=68,425). JE vaccination was evaluated on Japanese encephalitis incidence rates (r=-0.475, p=<0.01). Japanese encephalitis vaccine distribution was negatively correlated with JE incidence rates in Guizhou Province from 1971 to 2009 (r=-0.475, P<0.01).
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