Impact of Temperature on Mortality in Three Major Chinese Cities

Objective To study the relation between temperature and mortality by estimating the temperature-related mortality in Beijing, Shanghai, and Guangzhou. Methods Data of daily mortality, weather and air pollution in the three cities were collected. A distributed lag nonlinear model was established and used in analyzing the effects of temperature on mortality. Current and future net temperature-related mortality was estimated. Results The association between temperature and mortality was J-shaped, with an increased death risk of both hot and cold temperature in these cities. The effects of cold temperature on health lasted longer than those of hot temperature. The projected temperature-related mortality increased with the decreased cold-related mortality. The mortality was higher in Guangzhou than in Beijing and Shanghai. Conclusion The impact of temperature on health varies in the 3 cities of China, which may have implications for climate policy making in China.

Application of Statistical Distribution of PM_(10) Concentration in Air Quality Management in 5 Representative Cities of China

Objective To estimate the frequency of daily average PM10 concentrations exceeding the air quality standard （AQS） and the reduction of particulate matter emission to meet the AQS from the statistical properties （probability density functions） of air pollutant concentration. Methods The daily PM10 average concentration in Beijing, Shanghai, Guangzhou, Wuhan, and Xi＇an was measured from 1 January 2004 to 31 December 2008. The PM10 concentration distribution was simulated by using the Iognormal, Weibull and Gamma distributions and the best statistical distribution of PM10 concentration in the 5 cities was detected using to the maximum likelihood method. Results The daily PM10 average concentration in the 5 cities was fitted using the Iognormal distribution. The exceeding duration was predicted, and the estimated PMlo emission source reductions in the 5 cities need to be 56.58%, 93.40%, 80.17%, 82.40%, and 79.80%, respectively to meet the AO, S. Conclusion Air pollutant concentration can be predicted by using the PM10 concentration distribution, which can be further applied in air quality management and related policy making.

Association between Phthalate Exposure and the Use of Plastic Containers in Shanghai Adults

Objective Consuming phthalates may be due to the presence of food contact materials, such as plastic containers. In this study, we investigated the association between plastic container use and phthalate exposure in 2,140 Shanghai adults. Methods Participants completed a questionnaire on the frequency of using plastic containers in different scenarios in the previous year （e.g., daily, weekly） and on the consumption of plastic-packaged foods in the previous three days （yes or no）. Urinary phthalate metabolites were used to assess the association between phthalate exposure and the use of plastic containers. Results The metabolites of di-（2-ethylhexyl） phthalate （DEHP） were the most frequently detected in urine. The results revealed that phthalate exposure was associated with consumption of plastic-packaged breakfast or processed food items in the previous three days. The consumption of these two food items had strong synergistic effects on increasing urinary concentrations of most phthalate metabolites. Conclusion Our results of plastic-packaged breakfast and processed food may be explained by the use of flexible plastic containers, indicating the importance of risk assessment for the application of flexible plastic containers.

The spatiotemporal analysis of the population migration network in China,

Population migration is a critical component of large-scale spatiotemporal models of infectious disease transmission.Identifying the most influential spreaders in networks is vital to controlling and understanding the spreading process of infectious diseases.We used Baidu Migration data for the whole year of 2021 to build mobility networks.The nodes of the network represent cities,and the edges represent the population flow between cities.By applying the k-shell decomposition and the Louvain algorithm,we could get the k-shell values for each city and community partition.Then,we identified the most efficient nodes or pathways in a complex network by generating random networks.Furthermore,we analyzed the eigenvalue of the migration matrix to find the nodes that have the most impact on the network.We also found the consistency between k-shell value and eigenvalue through Kendall's t test.The main result is that in Spring Festival and National Day,the network is at higher risk of an infectious disease outbreak and the Yangtze River Delta is at the highest risk of an epidemic all year around.Shanghai is the most significant node in both k-shell value and eigenvalue analysis.The spatiotemporal property of the network should be taken into account to model the transmission of infectious diseases more accurately.

Research Progress in the Epidemiology of HIV/AIDS in China

ABSTRACT After thirty-two years since the first domestic outbreak of human immunodeficiency virus(HIV)/acquired immune deficiency syndrome(AIDS)among injection drug users(IDUs)and almost two decades of comprehensive response efforts by the Chinese government,HIV/AIDS remains a major public health problem.The increasing burden of HIV/AIDS and comorbidities,the emergence of new HIV subtypes and/or circulating recombinant forms and drug mutations,the changing transmission networks.

Impact of immunization programs on 11 childhood vaccine-preventable diseases in China: 1950–2018

To evaluate the achievements of China’s immunization program between 1950 and 2018,we chose 11 vaccine-preventable diseases(VPDs)as representative notifiable diseases and used annual surveillance data obtained between 1950 and 2018 to derive disease incidence and mortality trends.Quasi-Poisson and polynomial regression models were used to estimate the impacts of specific vaccine programs,and life-table methods were used to calculate the loss of life expectancy,years of life lost,and loss of working years.The total notification number for the 11 VPDs was 211,866,000 from 1950 to 2018.The greatest number occurred in 1959,with a total incidence of 1,723 per million persons.From 1978 to 2018,a substantial decline was observed in the incidence of major infectious diseases.The incidence of pertussis fell 98%from 126.35 to 1.58 per million,and the incidences of measles,meningococcal meningitis,and Japanese encephalitis fell 99%,99%,and 98%,respectively.The regression models showed that most of the 11 diseases exhibited dramatic declines in morbidity after their integration into the Expanded Program on Immunization(EPI),while varicella and paratyphoid fever,which were not integrated into the EPI,showed increased morbidity.From 1978 to 2018,the total life expectancy for the 11 VPDs increased by 0.79 years,and similar results were obtained for different age groups.China has had great success in controlling VPDs in recent decades,and improving vaccination coverage is a key aspect of controlling VPDs in China.

Phthalates in Commercial Chinese Rice Wines: Concentrations and the Cumulative Risk Assessment to Adult Males in Shanghai

The concentrations of 16 phthalates in 164 commercial Chinese rice wines （CRW） were detected by GC-MS, and consumption data on CRW in different packaging types was investigated from 634 adult males in Shanghai using a food frequency questionnaire. Based on the prinq：iples of probabilistic modelling and cumulative risk assessment, the exposure and health risk of phthalates from CRW to adult males in Shanghai was evaluated. DMP, DEP, DIBP, DnBP, BBP, and DEHP were detected in the samples, thE： range of detection frequency of individual phthalates varied from 6.10% for BBP to 15.24% for DIBP, and the detected concentrations were 51.06-200.34 ng/mL. All the respondents consumed CRW, 90.69% of them consumed CRW 0.01-49.9 mL/d, the minimum value of the average daily intake of CRW was 6.25 mL/d, the median was 13.72 mL/d and the maximum was 300 mL/d. The median exposure level of the 6 detected Phthalates to adult males in Shanghai were 6.58-7.10 ng/（d.kg）, and the maximum exposure level were 137.38-540.47 ng/（d.kg）. The cumulative exposure health risk index （HI） based on the median and maximum exposure level of the 6 Phthalates （DMP, I~）EP, DIBP, DnBP, BBP, and DEHP） were 0.001147 ancl 0.063396, both were far less than 1. In conclusion, CRW were generally consumed by the adult males in Shanghai.