Spatial transmission and meteorological determinants of tuberculosis incidence in Qinghai Province,China:a spatial clustering panel analysis

Background:Tuberculosis(TB)is the notifiable infectious disease with the second highest incidence in the Qinghai province,a province with poor primary health care infrastructure.Understanding the spatial distribution of TB and related environmental factors is necessary for developing effective strategies to control and further eliminate TB.Methods:Our TB incidence data and meteorological data were extracted from the China Information System of Disease Control and Prevention and statistical yearbooks,respectively.We calculated the global and local Moran’s I by using spatial autocorrelation analysis to detect the spatial clustering of TB incidence each year.A spatial panel data model was applied to examine the associations of meteorological factors with TB incidence after adjustment of spatial individual effects and spatial autocorrelation.Results:The Local Moran’s I method detected 11 counties with a significantly high-high spatial clustering(average annual incidence:294/100000)and 17 counties with a significantly low-low spatial clustering(average annual incidence:68/100000)of TB annual incidence within the examined five-year period;the global Moran’s I values ranged from 0.40 to 0.58(all P-values<0.05).The TB incidence was positively associated with the temperature,precipitation,and wind speed(all P-values<0.05),which were confirmed by the spatial panel data model.Each 10°C,2 cm,and 1 m/s increase in temperature,precipitation,and wind speed associated with 9%and 3%decrements and a 7%increment in the TB incidence,respectively.Conclusions:High TB incidence areas were mainly concentrated in south-western Qinghai,while low TB incidence areas clustered in eastern and north-western Qinghai.Areas with low temperature and precipitation and with strong wind speeds tended to have higher TB incidences.

Regional inequality, spatial spillover effects, and the factors influencing city-level energy-related carbon emissions in China

Data show that carbon emissions are increasing due to human energy consumption associated with economic development. As a result, a great deal of attention has been focused on efforts to reduce this growth in carbon emissions as well as to formulate policies to address and mitigate climate change. Although the majority of previous studies have explored the driving forces underlying Chinese carbon emissions, few have been carried out at the city-level because of the limited availability of relevant energy consumption statistics. Here, we utilize spatial autocorrelation, Markov-chain transitional matrices, a dynamic panel model, and system generalized distance estimation(Sys-GMM) to empirically evaluate the key determinants of carbon emissions at the city-level based on Chinese remote sensing data collected between 1992 and 2013. We also use these data to discuss observed spatial spillover effects taking into account spatiotemporal lag and a range of different geographical and economic weighting matrices. The results of this study suggest that regional discrepancies in city-level carbon emissions have decreased over time, which are consistent with a marked spatial spillover effect, and a ‘club' agglomeration of high-emissions. The evolution of these patterns also shows obvious path dependence, while the results of panel data analysis reveal the presence of a significant U-shaped relationship between carbon emissions and per capita GDP. Data also show that per capita carbon emissions have increased in concert with economic growth in most cities, and that a high-proportion of secondary industry and extensive investment growth have also exerted significant positive effects on city-level carbon emissions across China. In contrast, rapid population agglomeration, improvements in technology, increasing trade openness, and the accessibility and density of roads have all played a role in inhibiting carbon emissions. Thus, in order to reduce emissions, the Chinese government should legislate to inhibit the effects of factors that promote the release of carbon while at the same time acting to encourage those that mitigate this process. On the basis of the analysis presented in this study, we argue that optimizing industrial structures, streamlining extensive investment, increasing the level of technology, and improving road accessibility are all effective approaches to increase energy savings and reduce carbon emissions across China.