Epidemiologic features and potential year of life lost of scrub typhus in China: A nationwide surveillance analysis (2006– 2023)

Based on results, we recommend prioritizing surveillance and resource allocation to high-risk areas including Guangdong, Yunnan, Guangxi, and Fujian provinces, as well as emerging northern regions (e.g., Anhui, Shandong) exhibiting rapid geographic expansion. Health interventions should target farmers (particularly females) and adults aged ≥60 years in rural areas. Meanwhile, efforts should accelerate vaccine development for high-risk occupational groups. Vector control and prevention campaigns should be intensified during critical pre-peak windows: the outbreak peaked in October.