Publications by authors named "LiQun Fang"

Background: As natural reservoirs of diverse pathogens, small mammals are considered a key interface for guarding public health due to their wide geographic distribution, high density and frequent interaction with humans.

Methods: All formally recorded natural occurrences of small mammals (Order: Rodentia, Eulipotyphla, Lagomorpha, and Scandentia) and their associated microbial infections in China were searched in the English and Chinese literature spanning from 1950 to 2021 and geolocated. Machine learning models were applied to determine ecological drivers for the distributions of 45 major small mammal species and two common rodent-borne diseases (RBDs), and model-predicted potential risk locations were mapped.

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Background: Co-existence of efficient transportation networks and geographic imbalance of medical resources greatly facilitated inter-city migration of patients of infectious diseases in China.

Methods: To characterize the migration patterns of major notifiable infectious diseases (NIDs) during 2016-2020 in China, we collected migratory cases, who had illness onset in one city but were diagnosed and reported in another, from the National Notifiable Infectious Disease Reporting System, and conducted a nationwide network analysis of migratory cases of major NIDs at the city (prefecture) level.

Findings: In total, 2,674,892 migratory cases of NIDs were reported in China during 2016-2020.

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Background: Wild birds are significant vectors in global pathogen transmission, but the diversity and spatial distribution of the pathogens detected in them remain unclear. Understanding the transmission dynamics and hotspots of wild-bird-associated pathogens (WBAPs) is crucial for early disease prevention.

Methods: We compiled an up-to-date dataset encompassing all WBAPs by conducting an extensive search of publications from 1959 to 2022, mapped their diversity and global distribution, and utilized three machine learning algorithms to predict geospatial hotspots where zoonotic and emerging WBAPs were prevalent.

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T cell responses play an important role in viral clearance and prevention of infection. Here, we present a protocol to detect severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)-specific T cell responses using spectral flow cytometry. We describe steps for peripheral blood mononuclear cell (PBMC) thawing and stimulation with SARS-CoV-2 spike peptide pools.

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Objectives: The epidemical and clinical features of distinct hantavirus infections exhibit heterogeneity. However, the evolving epidemics and distinct determines of the two hantavirus infections remain uncertain.

Methods: Data on hemorrhagic fever with renal syndrome (HFRS) cases and genotyping were collected from multiple sources to explore the distribution dynamics of different endemic categories.

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To investigate the changing patterns of respiratory viral infections within the context of COVID-19 pandemic. The etiological surveillance data of eight respiratory viral pathogens among patients with ARIs in Shanghai between 2013 and 2023 were analyzed to evaluate the dynamic patterns of respiratory viral infections in Shanghai compared to global other regions during pre-pandemic (period 1), pandemic (period 2), and post-pandemic (period 3) periods of COVID-19. In Shanghai and various other global regions, there was a delay of 2‒4 months in the peak positive rate of IFV and a reverse seasonality for RSV, HMPV, and HBoV was observed following the relaxation of NPIs.

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Article Synopsis
  • - The Usutu virus (USUV) is a rising concern as a mosquito-borne flavivirus leading to more human infections globally, prompting a need for better monitoring and understanding.
  • - Researchers created an extensive database to analyze USUV infections across vectors, animals, and humans, using boosted regression tree models to understand the virus's geographic spread and main vectors and hosts.
  • - Their findings indicate that about 1.04 billion people are at risk for USUV infection worldwide, with a large potential exposure area, emphasizing the need for enhanced surveillance, especially in high-risk regions.
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Introduction: With the continued prevalence of COVID-19, repeated infection caused by SARS-CoV-2 has become common. However, studies on immune persistence post Omicron XBB reinfection are limited.

Methods: We prospectively studied the durability and cross-reactivity of neutralizing antibodies (NAbs) and T cell responses among 20 subjects who suffered Omicron BA.

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The impact of Borrelia miyamotoi on human health, facilitated by the expanding geographical distribution and increasing population of Ixodes ticks, remains obscure in the context of global climate change. We employed multiple models to evaluate the effect of global climate change on the risk of B. miyamotoi worldwide across various scenarios.

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A great number of COVID-19 patients was caused by Omicron BA.5 subvariant between December 2022 and January 2023 after the end of the zero-COVID-19 policy in China. In this study, we clarified the epidemiological and immunological characteristics of 457 enrolled middle-aged and elderly population in two housing estates after Omicron BA.

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Article Synopsis
  • Scrub typhus is increasingly recognized as a global public health issue, yet it remains underdiagnosed and underreported, prompting a systematic review to explore environmental factors affecting its occurrence and prediction methods.
  • The review analyzed 68 studies from multiple databases, highlighting key environmental risk factors like temperature, precipitation, humidity, sunshine duration, elevation, vegetation index, and cropland, while noting a lack of exploration into socioeconomic and biological factors.
  • Common predictive methods identified include Autoregressive Integrated Moving Average (ARIMA) for temporal trends and ecological niche modeling (ENM) for spatial distribution, with the study calling attention to knowledge gaps and recommending further research in disease prediction and burden analysis.
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Article Synopsis
  • A 30-year-old pregnant woman in Shandong Province, China, was diagnosed with a persistent high fever, and high-throughput sequencing identified the presence of the parasite Trypanosoma dionisii in her blood.
  • The patient showed symptoms like fever and respiratory issues but made a full recovery without long-term effects; genetic analysis revealed her infection was closely related to T. dionisii found in local bats.
  • This case highlights T. dionisii as a potential zoonotic pathogen, emphasizing the risk of its transmission from wildlife, particularly rodents and bats, to humans.
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  • Ventilator-associated pneumonia (VAP) is a serious issue in patients undergoing neurosurgery, but its epidemiology is not well understood, prompting this study.
  • A decade-long study in a major Chinese hospital analyzed data from neurosurgical patients to identify the occurrence and characteristics of VAP, focusing on pathogens and their resistance profiles.
  • Key findings showed that VAP incidence was 16.21 per 1,000 ventilation days, with high rates of multidrug-resistant gram-negative bacteria, and identified risk factors linked to ventilator use, Glasgow Coma Scale scores, and the presence of tracheotomy.
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The emergence of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) Omicron subvariants raises concerns regarding the effectiveness of immunity acquired from previous Omicron subvariants breakthrough infections (BTIs) or reinfections (RIs) against the current circulating Omicron subvariants. In this study, we prospectively investigate the dynamic changes of virus-specific antibody and T cell responses among 77 adolescents following Omicron BA.2.

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Shrews being insectivores, serve as natural reservoirs for a wide array of zoonotic viruses, including the recently discovered Langya henipavirus (LayV) in China in 2018. It is crucial to understand the shrew-associated virome, viral diversity, and new viruses. In the current study, we conducted high-throughput sequencing on lung samples obtained from 398 shrews captured along the eastern coast of China, and characterized the high-depth virome of 6 common shrew species (Anourosorex squamipes, Crocidura lasiura, Crocidura shantungensis, Crocidura tanakae, Sorex caecutiens, and Suncus murinus).

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The emergence of novel Omicron subvariants has raised concerns regarding the efficacy of immunity induced by prior Omicron subvariants breakthrough infection (BTI) or reinfection against current circulating Omicron subvariants. Here, we prospectively investigated the durability of antibody and T cell responses in individuals post Omicron BA.2.

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Background: Understanding and mapping the distribution of sandflies and sandfly-associated pathogens (SAPs) is crucial for guiding the surveillance and control effort. However, their distribution and the related risk burden in China remain poorly understood.

Methods: We mapped the distribution of sandflies and SAPs using literature data from 1940 to 2022.

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Background: Nipah virus is a zoonotic paramyxovirus responsible for disease outbreaks with high fatality rates in south and southeast Asia. However, knowledge of the potential geographical extent and risk patterns of the virus is poor. We aimed to establish an integrated spatiotemporal and phylogenetic database of Nipah virus infections in humans and animals across south and southeast Asia.

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After the termination of zero-COVID-19 policy, the populace in China has experienced both Omicron BA.5 and XBB waves. Considering the poor antibody responses and severe outcomes observed among the elderly following infection, we conducted a longitudinal investigation to examine the epidemiological characteristics and antibody kinetics among 107 boosted elderly participants following the Omicron BA.

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Background: The recent discovery of emerging relapsing fever group Borrelia (RFGB) species, such as Borrelia miyamotoi, poses a growing threat to public health. However, the global distribution and associated risk burden of these species remain uncertain. We aimed to map the diversity, distribution, and potential infection risk of RFGB.

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Article Synopsis
  • Air pollution is a significant risk factor for respiratory diseases like influenza, but clear long-term evidence linking the two is lacking due to insufficient data.
  • This study aimed to analyze the short-term relationship between air pollutants and influenza cases in 82 Chinese cities over 5 years by using a two-stage time series analysis.
  • The findings revealed that most air pollutants except ozone were positively correlated with increased influenza cases, with the strongest associations found for specific particulate matter, indicating that higher pollution levels can elevate the risk of influenza outbreaks.
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Background: A viral infection can modify the risk to subsequent viral infections via cross-protective immunity, increased immunopathology, or disease-driven behavioral change. There is limited understanding of virus-virus interactions due to lack of long-term population-level data.

Methods: Our study leverages passive surveillance data of 10 human acute respiratory viruses from Beijing, Chongqing, Guangzhou, and Shanghai collected during 2009 to 2019: influenza A and B viruses; respiratory syncytial virus A and B; human parainfluenza virus (HPIV), adenovirus, metapneumovirus (HMPV), coronavirus, bocavirus (HBoV), and rhinovirus (HRV).

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Severe fever with thrombocytopenia syndrome (SFTS) is an emerging infectious disease with increasing incidence and geographic extent. The extent to which global climate change affects the incidence of SFTS disease remains obscure. We use an integrated multi-model, multi-scenario framework to assess the impact of global climate change on SFTS disease in China.

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The transmissibility is a crucial feature for norovirus, yet its quantitative estimation has been limited. Our objective was to estimate the basic reproduction number (R ) of norovirus and investigate its variation characteristics. Norovirus outbreaks reported from September 2016 to August 2021 in Beijing were analyzed.

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