{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,5]],"date-time":"2026-11-05T07:21:23Z","timestamp":1793863283794,"version":"4.6.1"},"reference-count":84,"publisher":"American Society of Tropical Medicine and Hygiene","issue":"5","license":[{"start":{"date-parts":[[2025,5,7]],"date-time":"2025-05-07T00:00:00Z","timestamp":1746576000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,5,7]]},"abstract":"<jats:title>ABSTRACT.<\/jats:title>\n                  <jats:p>Severe fever with thrombocytopenia syndrome (SFTS) is an emerging infectious disease primarily reported in Asia. This review aims to summarize studies on the epidemiological characteristics of SFTS. Literature from PubMed and Scopus was searched up to February 14, 2024. A total of 76 articles were eligible. Infections were reported in China, Japan, South Korea, and several other countries in Asia. The incidence of SFTS has been rising and reported from new areas across Asia. The incidence rate was highest in China, ranging from fewer than 0.1 to 4.2 cases per 100,000 population and reaching up to 127.6 cases per 100,000 population in some areas. Most cases occurred between April and December. Elderly farmers and veterinarians were the most affected group. Key epidemiological factors included direct contact with animals, outdoor work, vegetation near homes, rural or hilly residency, tick bites, and direct contact with blood or saliva from infected animals or humans.<\/jats:p>","DOI":"10.4269\/ajtmh.24-0616","type":"journal-article","created":{"date-parts":[[2025,2,18]],"date-time":"2025-02-18T08:26:53Z","timestamp":1739867213000},"page":"956-962","source":"Crossref","is-referenced-by-count":17,"title":["Epidemiological Characteristics of Severe Fever with Thrombocytopenia Syndrome"],"prefix":"10.4269","volume":"112","author":[{"given":"Sakarn","family":"Charoensakulchai","sequence":"first","affiliation":[{"name":"Thai Travel Clinic, Hospital for Tropical Diseases, Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Keita","family":"Matsuno","sequence":"additional","affiliation":[{"name":"Division of Risk Analysis and Management, International Institute for Zoonosis Control, Hokkaido University, Sapporo, Japan;"},{"name":"One Health Research Center, Hokkaido University, Sapporo, Japan;"},{"name":"Institute for Vaccine Research and Development, HU-IVReD, Hokkaido University, Sapporo, Japan;"},{"name":"International Collaboration Unit, International Institute for Zoonosis Control, Hokkaido University, Sapporo, Japan;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emi E.","family":"Nakayama","sequence":"additional","affiliation":[{"name":"Center for Infectious Disease Education and Research, Department of Viral Infections, Research Institute for Microbial Diseases, Osaka University, Osaka, Japan;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tatsuo","family":"Shioda","sequence":"additional","affiliation":[{"name":"Center for Infectious Disease Education and Research, Department of Viral Infections, Research Institute for Microbial Diseases, Osaka University, Osaka, Japan;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hisham A.","family":"Imad","sequence":"additional","affiliation":[{"name":"Thai Travel Clinic, Hospital for Tropical Diseases, Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand;"},{"name":"Center for Infectious Disease Education and Research, Department of Viral Infections, Research Institute for Microbial Diseases, Osaka University, Osaka, Japan;"},{"name":"Department of Clinical Tropical Medicine, Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2795","reference":[{"key":"b1","series-title":"Arch Virol","first-page":"1949","article-title":"Taxonomy of the order Bunyavirales: Update 2019","volume":"164","author":"Abudurexiti","year":"2019"},{"key":"b2","series-title":"Virusdisease","first-page":"220","article-title":"A new emerging pandemic of severe fever with thrombocytopenia syndrome (SFTS)","volume":"32","author":"Sharma","year":"2021"},{"key":"b3","series-title":"N Engl J Med","first-page":"1523","article-title":"Fever with thrombocytopenia associated with a novel bunyavirus in China","volume":"364","author":"Yu","year":"2011"},{"key":"b4","series-title":"Viruses","first-page":"1213","article-title":"Clinical update of severe fever with thrombocytopenia syndrome","volume":"13","author":"Seo","year":"2021"},{"key":"b5","series-title":"Exp Mol Med","first-page":"713","article-title":"Severe fever with thrombocytopenia syndrome virus: Emerging novel phlebovirus and their control strategy","volume":"53","author":"Casel","year":"2021"},{"key":"b6","series-title":"Infect Control Hosp Epidemiol","first-page":"582","article-title":"Risk factors for person-to-person transmission of severe fever with thrombocytopenia syndrome","volume":"42","author":"Ye","year":"2021"},{"key":"b7","series-title":"Int J Infect Dis","first-page":"77","article-title":"Animals as amplification hosts in the spread of severe fever with thrombocytopenia syndrome virus: A systematic review and meta-analysis","volume":"79","author":"Chen","year":"2019"},{"key":"b8","series-title":"Infect Med (Beijing)","first-page":"40","article-title":"Epidemiology, clinical characteristics, and treatment of severe fever with thrombocytopenia syndrome","volume":"1","author":"Li","year":"2022"},{"key":"b9","series-title":"J Infect Chemother","first-page":"802","article-title":"Seroprevalence of severe fever with thrombocytopenia syndrome (SFTS) virus antibodies in humans and animals in Ehime prefecture, Japan, an endemic region of SFTS","volume":"24","author":"Kimura","year":"2018"},{"key":"b10","series-title":"Clin Infect Dis","first-page":"e3851","article-title":"Epidemiology and ecology of severe fever with thrombocytopenia syndrome in China, 2010\u20132018","volume":"73","author":"Miao","year":"2021"},{"key":"b11","series-title":"PLoS Negl Trop Dis","first-page":"e0011097","article-title":"Seroprevalence of severe fever with thrombocytopenia syndrome using specimens from the Korea National Health & Nutrition Examination Survey","volume":"17","author":"Kim","year":"2023"},{"key":"b12","series-title":"Am J Trop Med Hyg","first-page":"510","article-title":"Clinical and epidemiological study on severe fever with thrombocytopenia syndrome in Yiyuan County, Shandong Province, China","volume":"88","author":"Cui","year":"2013"},{"key":"b13","series-title":"Open Forum Infect Dis","first-page":"ofad141","article-title":"Epidemiological characteristics and risk factors of severe fever with thrombocytopenia syndrome in Yantai City, Shandong Province","volume":"10","author":"Hou","year":"2023"},{"key":"b14","series-title":"Emerg Infect Dis","first-page":"1878","article-title":"Genotypic heterogeneity of Orientia tsutsugamushi in scrub typhus patients and thrombocytopenia syndrome co-infection, Myanmar","volume":"26","author":"Win","year":"2020"},{"key":"b15","series-title":"Viruses","first-page":"2280","article-title":"Serological evidence of severe fever with thrombocytopenia syndrome virus and IgM positivity were identified in healthy residents in Vietnam","volume":"14","author":"Tran","year":"2022"},{"key":"b16","series-title":"Emerg Infect Dis","first-page":"2572","article-title":"Severe fever with thrombocytopenia syndrome virus infection, Thailand, 2019\u20132020","volume":"28","author":"Rattanakomol","year":"2022"},{"key":"b17","series-title":"Emerg Infect Dis","first-page":"1513","article-title":"Serologic evidence of severe fever with thrombocytopenia syndrome virus and related viruses in Pakistan","volume":"26","author":"Zohaib","year":"2020"},{"key":"b18","series-title":"Sci Rep","first-page":"9679","article-title":"A national assessment of the epidemiology of severe fever with thrombocytopenia syndrome, China","volume":"5","author":"Liu","year":"2015"},{"key":"b19","series-title":"PLoS Negl Trop Dis","first-page":"e0009037","article-title":"Epidemiological and clinical characteristics of severe fever with thrombocytopenia syndrome bunyavirus human-to-human transmission","volume":"15","author":"Fang","year":"2021"},{"key":"b20","series-title":"BMC Public Health","first-page":"508","article-title":"Epidemiological and spatiotemporal analysis of severe fever with thrombocytopenia syndrome in eastern China, 2011\u20132021","volume":"23","author":"Liang","year":"2023"},{"key":"b21","series-title":"Ticks Tick Borne Dis","first-page":"102085","article-title":"Severe fever with thrombocytopenia syndrome incidence could be associated with ecotone between forest and cultivated land in rural settings of central China","volume":"14","author":"Liu","year":"2023"},{"key":"b22","series-title":"Infect Dis Poverty","first-page":"93","article-title":"Transmission and mortality risk assessment of severe 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China","volume":"15","author":"Zu","year":"2024"},{"key":"b34","series-title":"J Clin Virol","first-page":"185","article-title":"Seroprevalence of antibodies against SFTS virus infection in farmers and animals, Jiangsu, China","volume":"60","author":"Li","year":"2014"},{"key":"b35","series-title":"Transfusion","first-page":"965","article-title":"A study of seroprevalence and rates of asymptomatic viremia of severe fever with thrombocytopenia syndrome virus among Chinese blood donors","volume":"55","author":"Zeng","year":"2015"},{"key":"b36","series-title":"Emerg Infect Dis","first-page":"1355","article-title":"Antibodies against severe fever with thrombocytopenia syndrome virus in healthy persons, China, 2013","volume":"20","author":"Zhang","year":"2014"},{"key":"b37","series-title":"Am J Trop Med Hyg","first-page":"479","article-title":"The severe fever with thrombocytopenia syndrome bunyavirus (SFTSV) antibody in a highly endemic region from 2011 to 2013: A comparative serological 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of severe fever with thrombocytopenia syndrome virus antibodies in rural areas, South Korea","volume":"24","author":"Han","year":"2018"},{"key":"b54","series-title":"Emerg Infect Dis","first-page":"2103","article-title":"Severe fever with thrombocytopenia syndrome virus infection, South Korea, 2010","volume":"24","author":"Kim","year":"2018"},{"key":"b55","series-title":"PLoS Negl Trop Dis","first-page":"e0009687","article-title":"Seroepidemiologic survey of emerging vector-borne infections in South Korean forest\/field workers","volume":"15","author":"Noh","year":"2021"},{"key":"b56","series-title":"J Bacteriol Virol","first-page":"64","article-title":"Seroprevalence of severe fever with thrombocytopenia syndrome virus in Mui Island, rural area, Incheon, South Korea","volume":"52","author":"Kim-Jeon","year":"2022"},{"key":"b57","series-title":"Infect Chemother","first-page":"337","article-title":"Seroprevalence of severe fever with thrombocytopenia syndrome in the agricultural population of Jeju Island, Korea, 2015\u20132017","volume":"51","author":"Yoo","year":"2019"},{"key":"b58","series-title":"Viruses","first-page":"609","article-title":"The seroprevalence of severe fever with thrombocytopenia syndrome: An epidemiological study of Korean veterinary hospital workers","volume":"15","author":"Kim","year":"2023"},{"key":"b59","series-title":"Am J Trop Med Hyg","first-page":"1358","article-title":"Epidemiological and clinical features of severe fever with thrombocytopenia syndrome during an outbreak in South Korea, 2013\u20132015","volume":"95","author":"Park","year":"2016"},{"key":"b60","series-title":"PLoS Negl Trop Dis","first-page":"e0005264","article-title":"Severe fever with thrombocytopenia syndrome in South Korea, 2013\u20132015","volume":"10","author":"Choi","year":"2016"},{"key":"b61","series-title":"Microorganisms","first-page":"2288","article-title":"Genetic diversity, regional distribution, and clinical characteristics of severe fever with 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thrombocytopenia syndrome in Japan, 2013\u20132014","volume":"11","author":"Kato","year":"2016"},{"key":"b69","series-title":"Emerg Infect Dis","first-page":"692","article-title":"Severe fever with thrombocytopenia syndrome, Japan, 2013\u20132017","volume":"26","author":"Kobayashi","year":"2020"},{"key":"b70","series-title":"Medicine (Baltimore)","first-page":"e31947","article-title":"Clinical characteristics and risk factors of 267 patients having severe fever with thrombocytopenia syndrome-new epidemiological characteristics of fever with thrombocytopenia syndrome: Epidemiological characteristics of SFTS","volume":"101","author":"Dong","year":"2022"},{"key":"b71","series-title":"PLoS Negl Trop Dis","first-page":"e0011807","article-title":"Epidemiological characteristics and spatio-temporal aggregation of severe fever with thrombocytopenia syndrome in Jinan City, China, 2018\u20132022","volume":"17","author":"Gao","year":"2023"},{"key":"b72","series-title":"Int J Infect 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