Urbanization influences hemorrhagic fever with renal syndrome transmission: 34-year evidence from China's national surveillance
The quantification of urbanization is provided through impervious surface expansion and wetlands changes, which represent the primary predictors of HFRS transmission in China, likely operating through rodent habitat modification and altered human-wildlife contact patterns. The emerging wetland influence suggests that environmental policies are reshaping disease dynamics. Our findings support urbanization-targeted prevention strategies across the Western Pacific region and highlight integrating land use surveillance into regional infectious disease monitoring systems.
Authors
- Qiulan Chen (ORCID: https://orcid.org/0000-0001-6711-2304)
- Yanding Wang
- Yuanyong Xu (ORCID: https://orcid.org/0009-0009-9709-6881)
- Danjie Zhang (ORCID: https://orcid.org/0000-0003-3968-0835)
- Junyu He (ORCID: https://orcid.org/0000-0003-1873-3125)
- Xiaopeng Xu
- George Christakos (ORCID: https://orcid.org/0000-0002-1865-5764)
- Wenyi Zhang (ORCID: https://orcid.org/0000-0001-6553-0203)
Institutions
- Zimmer Biomet (Netherlands) (NL)
- Chinese Center For Disease Control and Prevention (CN)
- Helmholtz Zentrum München (DE)
- Zhejiang Ocean University (CN)
- Zhejiang University (CN)
- Ludwig-Maximilians-Universität München (DE)
- China Medical University (CN)
Publication Details
- Journal
- Infectious Disease Modelling
- Published
- 2025-12-09
- DOI
- https://doi.org/10.1016/j.idm.2025.12.004
- Primary Topic
- Viral Infections and Vectors
- Type
- article
- Field-Weighted Citation Impact
- 0.00