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Disease burden of rotavirus related diarrhea in children under 5 years in China: a meta-analysis
Li Cai1, Bicheng Tang2, Fanxu Kong1,3
1Division of Infectious Disease, National Key Laboratory of Intelligent Tracking and Forecasting for Infectious Disease, Chinese Center for Disease Control and Prevention, Beijing, 102206, China.
Insights
Rotavirus (RV) causes severe diarrhea in young children in China. This analysis of 73 studies shows a 24.7% RV positivity rate, with G9P[8] as the dominant genotype, necessitating enhanced surveillance.
Area of Science:
- * Pediatric Infectious Diseases
- * Public Health Surveillance
- * Virology
Background:
- * Rotavirus (RV) is a significant pathogen causing severe diarrhea in children under five globally and in China.
- * Understanding the disease burden and circulating strains is crucial for effective public health interventions.
Purpose of the Study:
- * To conduct a meta-analysis assessing the disease burden of rotavirus-related diarrhea in China from 2013-2023.
- * To analyze rotavirus incidence, positivity rates, and predominant genotypes in children under five.
- * To evaluate the impact of RotaTeq® licensure and the COVID-19 pandemic on rotavirus prevalence.
Main Methods:
- * Systematic meta-analysis of 73 studies.
- * Data sourced from PubMed, Web of Science, China National Knowledge Infrastructure, and Wanfang databases.
- * Analysis focused on rotavirus-related diarrhea incidence and positivity rates in children under five.
Main Results:
- * Pooled rotavirus positivity rate in children under five was 24.7%.
- * The G9P[8] genotype was predominant, accounting for 71.7% of cases.
- * Rotavirus positivity declined post-RotaTeq® licensure and COVID-19 pandemic, but incidence rates varied.
Conclusions:
- * Rotavirus remains a substantial public health concern for young children in China.
- * The predominance of the G9P[8] genotype highlights the need for targeted surveillance.
- * Enhanced surveillance of rotavirus incidence and genotypes is imperative for disease control.
Abstract:
Rotavirus (RV) is a leading cause of severe diarrhea among children under five years of age in China. In this meta-analysis, we assessed the disease burden of RV-related diarrhea by analyzing 73 studies retrieved from the PubMed, Web of Science, China National Knowledge Infrastructure, and Wanfang databases (2013-2023). The incidence of RV-related diarrhea ranged from 0.637 /1000 to 31.46/1000 persons. The pooled RV positivity rate for the under-5 age group was 24.7% (95% confidence interval: 22.1-27.4), with higher positivity rates observed among inpatients compared to outpatients (24.1% vs. 22.2%). Notably, the RV positivity rate declined from 27.3 to 21.5% pre- and post- the RotaTeq® licensure and 28.8-22.5% following the COVID-19 pandemic. The G9P[8] genotype was predominant, accounting for 71.7% of the RV cases in the under-5 age group. Given the dynamic nature of the incidence rate of RV-related diarrhea and the prevalence of the G9P[8] genotype, it is imperative to enhance surveillance efforts targeting incidence of RV-related diarrhea and the circulating genotypes of rotavirus.
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