{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T20:24:00Z","timestamp":1740169440931,"version":"3.37.3"},"reference-count":15,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2020,8,12]],"date-time":"2020-08-12T00:00:00Z","timestamp":1597190400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2020,8,12]],"date-time":"2020-08-12T00:00:00Z","timestamp":1597190400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/100012542","name":"Sichuan Province Science and Technology Support Program","doi-asserted-by":"publisher","award":["2020YFS0015"],"award-info":[{"award-number":["2020YFS0015"]}],"id":[{"id":"10.13039\/100012542","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Infect Dis Poverty"],"published-print":{"date-parts":[[2020,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n<jats:title>Background<\/jats:title>\n<jats:p>The outbreak of coronavirus disease 2019 (COVID-19) had spread worldwide. Although the world has intensively focused on the epidemic center during this period of time, it is imperative to emphasize that more attention should also be paid to some impoverished areas in China since they are more vulnerable to disease outbreak due to their weak health service capacities. Therefore, this study took Liangshan Yi Autonomous Prefecture as an example to analyze the COVID-19 epidemic in the impoverished area, evaluate the control effect and explore future control strategies.<\/jats:p>\n<\/jats:sec><jats:sec>\n<jats:title>Methods<\/jats:title>\n<jats:p>In this study, we collected information including age, gender, nationality, occupation, and address of all COVID-19 cases reported from 25 January 2020 to 23 April 2020 in Liangshan Prefecture from the Nationwide Notifiable Infectious Diseases Reporting Information System (NIDRIS), which were used under license and not publicly available. Additionally, we retrieved other information of cases through epidemiological investigation reports reviewing. Data were analyzed using the software Excel 2010 and SPSS 17.0. The geographic distribution of cases was mapped using ArcGIS10.2.<\/jats:p>\n<\/jats:sec><jats:sec>\n<jats:title>Results<\/jats:title>\n<jats:p>By 23 April 2020, a total of 13 COVID-19 cases and two asymptomatic SARS-CoV-2 carriers were reported in Liangshan, in three family clusters. Among the cases, eight cases had a history of sojourning in Hubei Province (61.54%), of which six were related to Wuhan. Cases aged under 44\u2009years accounted for 61.54%, with no child case. The delay of patients\u2019 hospital visiting, and the low degree of cooperation in epidemiological investigation are problems.<\/jats:p>\n<\/jats:sec><jats:sec>\n<jats:title>Conclusions<\/jats:title>\n<jats:p>During the study period, Liangshan was well under control. This was mainly contributed to strict preventive strategies aimed at local culture, inter-sectoral coordination and highly degree of public cooperation. Besides, some possible environmentally and culturally preventive factors (e.g., rapid air flow and family concept) would affect disease prevention and control. In the next step, the health education about COVID-19 should be strengthened and carried out according to the special culture of ethnic minorities to enhance public awareness of timely medical treatment.<\/jats:p>\n<\/jats:sec>","DOI":"10.1186\/s40249-020-00706-2","type":"journal-article","created":{"date-parts":[[2020,8,12]],"date-time":"2020-08-12T11:03:19Z","timestamp":1597230199000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Coronavirus disease 2019 epidemic in impoverished area: Liangshan Yi autonomous prefecture as an example"],"prefix":"10.1186","volume":"9","author":[{"given":"Ru-Jun","family":"Liao","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chun-Nong","family":"Ji-Ke","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tao","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Qiang","family":"Liao","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ling","family":"Li","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tian-Yu","family":"Zhu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shao-Yong","family":"Bian","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2020,8,12]]},"reference":[{"key":"706_CR1","unstructured":"World Health Organization. Coronavirus disease 2019 (COVID-19): situation report, 94: World Health Organization; 2020. https:\/\/apps.who.int\/iris\/handle\/10665\/331865."},{"key":"706_CR2","doi-asserted-by":"publisher","first-page":"507","DOI":"10.1016\/S0140-6736(20)30211-7","volume":"395","author":"N Chen","year":"2020","unstructured":"Chen N, Zhou M, Dong X, Qu J, Gong F, Han Y, et al. Epidemiological and clinical characteristics of 99 cases of 2019 novel coronavirus pneumonia in Wuhan, China: a descriptive study. Lancet. 2020;395:507\u201313..","journal-title":"Lancet."},{"key":"706_CR3","doi-asserted-by":"publisher","first-page":"m351","DOI":"10.1136\/bmj.m351","volume":"368","author":"J Parry","year":"2020","unstructured":"Parry J. Wuhan: Britons to be evacuated as scientists estimate 44\u2008000 cases of 2019-nCOV in the city. BMJ. 2020;368:m351.","journal-title":"BMJ."},{"key":"706_CR4","unstructured":"National Health Committee. Announcement of the National Health Committee of the People\u2019s Republic of China; http:\/\/www.nhc.gov.cn\/jkj\/s7916\/202001\/44a3b8245e8049d2837a4f27529cd386.shtml. Accessed 15 Mar 2020."},{"issue":"8","key":"706_CR5","doi-asserted-by":"crossref","first-page":"113","DOI":"10.46234\/ccdcw2020.032","volume":"2","author":"TNCPERE","year":"2020","unstructured":"TNCPERE. The epidemiological characteristics of an outbreak of 2019 novel coronavirus diseases (COVID-19) \u2014 China, 2020. China CDC Weekly. 2020;2(8):113\u201322.","journal-title":"China CDC Weekly"},{"key":"706_CR6","volume-title":"Diagnosis and treatment of novel coronavirus pneumonia (trial version 3)","author":"National Health Commission of People\u2019s Republic of China","year":"2020","unstructured":"National Health Commission of People\u2019s Republic of China. Diagnosis and treatment of novel coronavirus pneumonia (trial version 3). 2020. http:\/\/www.nhc.gov.cn\/xcs\/zhengcwj\/202001\/f492c9153ea9437bb587ce2ffcbee1fa.shtml. Accessed 15 Mar 2020."},{"key":"706_CR7","volume-title":"Diagnosis and treatment of novel coronavirus pneumonia (trial version 4)","author":"National Health Commission of People\u2019s Republic of China","year":"2020","unstructured":"National Health Commission of People\u2019s Republic of China. Diagnosis and treatment of novel coronavirus pneumonia (trial version 4). 2020. http:\/\/www.nhc.gov.cn\/xcs\/zhengcwj\/202001\/4294563ed35b43209b31739bd0785e67.shtml. Accessed 15 Mar 2020."},{"key":"706_CR8","volume-title":"Diagnosis and treatment of novel coronavirus pneumonia (trial version 5)","author":"National Health Commission of People\u2019s Republic of China","year":"2020","unstructured":"National Health Commission of People\u2019s Republic of China. Diagnosis and treatment of novel coronavirus pneumonia (trial version 5). 2020. http:\/\/www.nhc.gov.cn\/xcs\/zhengcwj\/202002\/3b09b894ac9b4204a79db5b8912d4440.shtml. Accessed 15 Mar 2020."},{"key":"706_CR9","volume-title":"Inspection and Quarantine of the People\u2019s Republic of China, Standardization Administration of the People\u2019s Republic of China","author":"General Administration of Quality Supervision","year":"2016","unstructured":"General Administration of Quality Supervision. Inspection and Quarantine of the People\u2019s Republic of China, Standardization Administration of the People\u2019s Republic of China. Beijing: Standards Press of China; 2016."},{"issue":"2","key":"706_CR10","doi-asserted-by":"publisher","first-page":"taaa020","DOI":"10.1093\/jtm\/taaa020","volume":"27","author":"A Wilder-Smith","year":"2020","unstructured":"Wilder-Smith A, Freedman DO. Isolation, quarantine, social distancing and community containment: pivotal role for old-style public health measures in the novel coronavirus (2019-nCoV) outbreak. J Travel Med. 2020;27(2):taaa020.","journal-title":"J Travel Med"},{"key":"706_CR11","doi-asserted-by":"publisher","first-page":"497","DOI":"10.1016\/S0140-6736(20)30183-5","volume":"395","author":"C Huang","year":"2020","unstructured":"Huang C, Wang Y, Li X, Ren L, Zhao J, Hu Y, et al. Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. Lancet. 2020;395:497\u2013506.","journal-title":"Lancet"},{"issue":"4","key":"706_CR12","doi-asserted-by":"publisher","first-page":"e488","DOI":"10.1016\/S2214-109X(20)30074-7","volume":"8","author":"J Hellewell","year":"2020","unstructured":"Hellewell J, Abbott S, Gimma A, Bosse NI, Jarvis CI, Russell TW, et al. Feasibility of controlling COVID-19 outbreaks by isolation of cases and contacts. Lancet Glob Health. 2020;8(4):e488\u201396.","journal-title":"Lancet Glob Health"},{"key":"706_CR13","doi-asserted-by":"publisher","first-page":"106328","DOI":"10.1016\/j.buildenv.2019.106328","volume":"163","author":"ZT Ai","year":"2019","unstructured":"Ai ZT, Huang T, Melikov AK. Airborne transmission of exhaled droplet nuclei between occupants in a room with horizontal air distribution. Build Environ. 2019;163:106328. https:\/\/doi.org\/10.1016\/j.buildenv.2019.106328.","journal-title":"Build Environ"},{"issue":"11","key":"706_CR14","doi-asserted-by":"publisher","first-page":"1061","DOI":"10.1001\/jama.2020.1585","volume":"323","author":"D Wang","year":"2020","unstructured":"Wang D, Hu B, Hu C. Clinical characteristics of 138 hospitalized patients with 2019 novel coronavirus-infected pneumonia in Wuhan, China. JAMA. 2020;323(11):1061\u20139.","journal-title":"JAMA"},{"issue":"10","key":"706_CR15","doi-asserted-by":"publisher","first-page":"970","DOI":"10.1056\/NEJMc2001468","volume":"382","author":"C Rothe","year":"2020","unstructured":"Rothe C, Schunk M, Sothmann P, Bretzel G, Froeschl G, Wallrauch C, et al. Transmission of 2019-nCoV infection from an asymptomatic contact in Germany. N Engl J Med. 2020;382(10):970\u20131.","journal-title":"N Engl J Med"}],"container-title":["Infectious Diseases of Poverty"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s40249-020-00706-2.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s40249-020-00706-2\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s40249-020-00706-2.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,8,11]],"date-time":"2021-08-11T23:22:55Z","timestamp":1628724175000},"score":1,"resource":{"primary":{"URL":"https:\/\/idpjournal.biomedcentral.com\/articles\/10.1186\/s40249-020-00706-2"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,8,12]]},"references-count":15,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2020,12]]}},"alternative-id":["706"],"URL":"https:\/\/doi.org\/10.1186\/s40249-020-00706-2","relation":{},"ISSN":["2049-9957"],"issn-type":[{"type":"electronic","value":"2049-9957"}],"subject":[],"published":{"date-parts":[[2020,8,12]]},"assertion":[{"value":"18 March 2020","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"22 June 2020","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"12 August 2020","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"The ethics committee of Sichuan Center for Disease Control and Prevention, Chengdu, China approved this research. NO. SCCDCCIRB 2020\u2013005.","order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Written informed consent was obtained from all persons described in this paper.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare that they have no competing interests.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"112"}}