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.

Scientific Reports
|May 9, 2025
PubMed

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.

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