{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,3]],"date-time":"2026-06-03T07:03:08Z","timestamp":1780470188444,"version":"3.54.1"},"reference-count":40,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,6,3]],"date-time":"2026-06-03T00:00:00Z","timestamp":1780444800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Public Health"],"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To understand the current status of rabies post-exposure prophylaxis (PEP) clinic construction in Gansu Province and analyze the distribution of rabies PEP clinics across the province. To evaluate residents\u2019 geographic accessibility to rabies PEP clinics, to provide a sound basis for the rational allocation of medical resources related to rabies PEP.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Address information and service type data of rabies PEP clinics in Gansu Province in 2024 were collected. The number and kernel density of clinics were calculated by different areas and different services provided by clinics. Combined the road network, land cover, elevation, inland water body data downloaded from websites, and cost distance model in ArcGIS software was used to calculate the accumulated traffic-cost score for residents reaching the nearest rabies PEP clinic by different areas.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      In 2024, Gansu Province had a total of 426 rabies PEP vaccination clinics. Among these, 69.72% provided wound management services, while 19.01% offered passive immunizing agents. Regional disparities were observed across different administrative and economic levels. In terms of spatial distribution, clinic density was highest in eastern regions, whereas western regions exhibited significantly lower density. Spatial analysis revealed that rabies PEP clinics in Gansu Province exhibited significant clustering characteristics, with a nearest neighbor ratio (NNR) of 0.490 (\n                      <jats:italic>Z<\/jats:italic>\n                      =\u202f\u221220.117,\n                      <jats:italic>p<\/jats:italic>\n                      &amp;lt;\u202f0.05). Transportation accessibility assessment indicated that certain western and southern regions of Gansu Province had higher travel cost scores compared to other areas.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Through analysis of the basic status of rabies exposure clinics in Gansu Province, combined with kernel density and transportation cost-distance analyses, reveals shortcomings in the standardized construction of rabies PEP clinics in the province. It is recommended to rationally plan clinic layouts, strengthen the service capacity building of clinics in economically underdeveloped and transportation-inconvenient areas, and enhance overall service capabilities.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fpubh.2026.1826911","type":"journal-article","created":{"date-parts":[[2026,6,3]],"date-time":"2026-06-03T06:08:04Z","timestamp":1780466884000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Assessing spatial accessibility of rabies post-exposure prophylaxis clinics in Gansu Province, China"],"prefix":"10.3389","volume":"14","author":[{"given":"Shuyu","family":"Liu","sequence":"first","affiliation":[{"name":"Gansu Provincial Center for Disease Control and Prevention","place":["Lanzhou, Gansu Province, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Na","family":"Jin","sequence":"additional","affiliation":[{"name":"Gansu Provincial Center for Disease Control and Prevention","place":["Lanzhou, Gansu Province, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xuefeng","family":"Liang","sequence":"additional","affiliation":[{"name":"Gansu Provincial Center for Disease Control and Prevention","place":["Lanzhou, Gansu Province, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jing","family":"An","sequence":"additional","affiliation":[{"name":"Gansu Provincial Center for Disease Control and Prevention","place":["Lanzhou, Gansu Province, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiang","family":"Song","sequence":"additional","affiliation":[{"name":"Northwest Institute of Eco-Environment and Resources, Chinese Academy of Sciences","place":["Lanzhou, Gansu Province, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiaoshu","family":"Zhang","sequence":"additional","affiliation":[{"name":"Gansu Provincial Center for Disease Control and Prevention","place":["Lanzhou, Gansu Province, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,6,3]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"118","DOI":"10.12183\/j.scjpm.2025.0118","article-title":"Immunization status and influencing factors of grade II and III exposed individuals at rabies post-exposure prophylaxis clinics in Guangdong Province, 2019","volume":"51","author":"Zhu","year":"2025","journal-title":"South China J Prev Med"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"668","DOI":"10.3760\/cma.j.issn.0253-9624.2019.07.004","article-title":"Expert consensus on post-exposure prophylaxis for rabies exposure","volume":"53","author":"Yin","year":"2019","journal-title":"Chin J Prev Med"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"383","DOI":"10.3760\/cma.j.cn112866-20240403-00056","article-title":"Epidemiological characteristics of 6471 rabies-exposed individuals in Lishui City, Zhejiang Province","volume":"38","author":"Lai","year":"2024","journal-title":"Chin J Exp Clin Virol"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"373","DOI":"10.3760\/cma.j.cn112866-20240403-00055","article-title":"Analysis of epidemic characteristics of human rabies in China from 2007 to 2023","volume":"38","author":"Qin","year":"2024","journal-title":"Chin J Exp Clin Virol"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"5500","DOI":"10.1016\/j.vaccine.2018.06.061","article-title":"Rabies vaccines: WHO position paper, April 2018-Recommendations","volume":"36","year":"2018","journal-title":"Vaccine"},{"key":"ref6","first-page":"173","article-title":"Discussion on vaccination procedure for rabies re-exposure","volume":"16","author":"Zhang","year":"2019","journal-title":"China Health Ind"},{"key":"ref7","first-page":"16","article-title":"Investigation and analysis of rabies in Shanghai City","volume":"37","author":"Liu","year":"2020","journal-title":"China Anim Health Insp"},{"key":"ref8","volume-title":"WHO Expert Consultation on Rabies. 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