{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,19]],"date-time":"2026-09-19T17:12:21Z","timestamp":1789837941095,"version":"4.0.1"},"update-to":[{"DOI":"10.1371\/journal.pntd.0012182","type":"new_version","label":"New version","source":"publisher","updated":{"date-parts":[[2024,6,12]],"date-time":"2024-06-12T00:00:00Z","timestamp":1718150400000}}],"reference-count":33,"publisher":"Public Library of Science (PLoS)","issue":"5","license":[{"start":{"date-parts":[[2024,5,31]],"date-time":"2024-05-31T00:00:00Z","timestamp":1717113600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"the National Key Research and Development Program of China","award":["No. 2021YFC2300800"],"award-info":[{"award-number":["No. 2021YFC2300800"]}]},{"name":"the National Key Research and Development Program of China","award":["2021YFC2300803"],"award-info":[{"award-number":["2021YFC2300803"]}]},{"DOI":"10.13039\/501100001809","name":"the National Natural Science Foundation of China","doi-asserted-by":"crossref","award":["32161143036"],"award-info":[{"award-number":["32161143036"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"crossref"}]},{"DOI":"10.13039\/501100001809","name":"the National Natural Science Foundation of China","doi-asserted-by":"crossref","award":["32311540013"],"award-info":[{"award-number":["32311540013"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"crossref"}]},{"name":"the International Joint Laboratory on Tropical Diseases Control in Greater Mekong Subregion","award":["21410750200"],"award-info":[{"award-number":["21410750200"]}]},{"name":"the Shanxi Provincial Health Commission Project","award":["2021021"],"award-info":[{"award-number":["2021021"]}]}],"content-domain":{"domain":["www.plosntds.org"],"crossmark-restriction":false},"short-container-title":["PLoS Negl Trop Dis"],"abstract":"<jats:sec id=\"sec001\">\n<jats:title>Objective<\/jats:title>\n<jats:p>To understand the epidemiological distribution characteristics of mountain-type zoonotic visceral leishmaniasis (MT-ZVL) in Yangquan City, Shanxi Province, China, from 2006 to 2021, to explore the influencing factors leading to the re-emergence of the epidemic, and to provide a basis for the formulation of targeted control strategies.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec002\">\n<jats:title>Methods<\/jats:title>\n<jats:p>Case information spanning from 2006 to 2021 in Yangquan City was collected for a retrospective case-control study conducted from June to September 2022. A 1:3 matched ratio was employed. A questionnaire was utilized to gather data on basic information, demographic characteristics, awareness of MT-ZVL knowledge, residence, and dog breeding and living habits. The study employed a multifactorial conditional stepwise logistic regression model to analyze the influencing factors.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec003\">\n<jats:title>Results<\/jats:title>\n<jats:p>A total of 508 subjects was analyzed. Risk factors for MT-ZVL included the use of soil\/stone\/concrete as building materials (<jats:italic>OR<\/jats:italic> = 3.932), presence of nearby empty\/stone stack houses (<jats:italic>OR<\/jats:italic> = 2.515), dog breeding (<jats:italic>OR<\/jats:italic> = 4.215), presence of stray dogs (<jats:italic>OR<\/jats:italic> = 2.767), and neighbor\u2019s dog breeding (<jats:italic>OR<\/jats:italic> = 1.953). Protective factors comprised knowledge of MT-ZVL (<jats:italic>OR<\/jats:italic> = 0.113) and using mosquito repellents (<jats:italic>OR<\/jats:italic> = 0.388). The findings indicate significant associations between environmental and behavioral factors and MT-ZVL incidence in Yangquan City, Shanxi Province, China, from 2006 to 2021. These results underscore the importance of public awareness campaigns and targeted interventions aimed at reducing exposure to risk factors and promoting protective measures to mitigate the re-emergence of MT-ZVL outbreaks.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec004\">\n<jats:title>Conclusion<\/jats:title>\n<jats:p>House building materials, presence of neighboring empty houses, breeding domestic dogs and distribution of stray dogs surrounding the home are risk factors for MT-ZVL. Awareness of MT-ZVL and implementation of preventive measures during outdoor activities in summer and autumn are protective and may reduce the risk of MT-ZVL.<\/jats:p>\n<\/jats:sec>","DOI":"10.1371\/journal.pntd.0012182","type":"journal-article","created":{"date-parts":[[2024,5,31]],"date-time":"2024-05-31T20:20:02Z","timestamp":1717186802000},"page":"e0012182","update-policy":"https:\/\/doi.org\/10.1371\/journal.pntd.corrections_policy","source":"Crossref","is-referenced-by-count":4,"title":["Re-emergence and influencing factors of mountain-type zoonotic visceral leishmaniasis in the extension region of Loess Plateau, China"],"prefix":"10.1371","volume":"18","author":[{"given":"Zhuowei","family":"Luo","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fenfen","family":"Wang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhaoyu","family":"Guo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lulu","family":"Huang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peijun","family":"Qian","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wenya","family":"Wang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shenglin","family":"Chen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuanyuan","family":"Li","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peijun","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yi","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bin","family":"Wu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhengbin","family":"Zhou","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuwan","family":"Hao","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shizhu","family":"Li","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"340","published-online":{"date-parts":[[2024,5,31]]},"reference":[{"key":"pntd.0012182.ref001","author":"World Health Organization","year":"2021","journal-title":"Leishmaniasis [DB\/OL]."},{"issue":"10151","key":"pntd.0012182.ref002","doi-asserted-by":"crossref","first-page":"951","DOI":"10.1016\/S0140-6736(18)31204-2","article-title":"Leishmaniasis","volume":"392","author":"S Burza","year":"2018","journal-title":"Lancet"},{"issue":"8","key":"pntd.0012182.ref003","doi-asserted-by":"crossref","first-page":"e006835","DOI":"10.1136\/bmjgh-2021-006835","article-title":"Control of visceral leishmaniasis in East Africa: fragile progress, new threats.","volume":"6","author":"EH Dahl","year":"2021","journal-title":"BMJ Glob Health"},{"key":"pntd.0012182.ref004","volume-title":"Fifteenth Meeting of the Strategic and Technical Advisory Group for Neglected Tropical Diseases, 7\u20138 February 2022.","author":"World Health Organization","year":"2022"},{"issue":"5","key":"pntd.0012182.ref005","doi-asserted-by":"crossref","first-page":"e0009373","DOI":"10.1371\/journal.pntd.0009373","article-title":"New global targets for NTDs in the WHO roadmap 2021\u20132030","volume":"15","author":"A. 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