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2023 Vol. 5, No. 14

Preplanned Studies
Multiple Center Research on Relationship Between Screening Quality and Detection of Cervical Cancer — Six Provinces, China, June–December 2021
Xiaosong Zhang, Weihong Chen, Xinxin Zhu, Hui Bi, Qingping Zhao, Yunfeng Fu, Lina Zhang, Chunmei Zhang, Ning Huang
2023, 5(14): 301-305. doi: 10.46234/ccdcw2023.038
Abstract(6050) HTML (178) PDF 352KB(36)
Abstract:
What is already known about this topic?

The effective implementation of cervical cancer examination programs requires improved cervical cancer screening coverage and quality.

What is added by this report?

The detection rate of ≥high-grade squamous intraepithelial lesions (HSIL) in 6 hospitals was 19.6%. Not having undergone screening in the last 5 years and abnormal screening results had a negative association with detection of ≥HSIL, and abnormal screening results would increase the risk of detection by 75% compared with normal screening results. Additionally, low-grade, high-grade, and cancer of colposcopic impression were associated with a higher risk for detecting ≥HSIL.

What are the implications for public health practice?

It is essential to disseminate health knowledge about cervical cancer control to women in order to increase their awareness and screening rates. Additionally, it is necessary to further strengthen the training of professional staff to improve the quality of cervical cancer prevention, including screening, colposcopic examination, and follow-up for target female populations.

Changing Patterns of Heart Disease Mortality in Rural and Urban Areas — China, 1987–2021
Binbin Su, Panliang Zhong, Yu Wu, Yaohua Tian, Xiaoying Zheng
2023, 5(14): 306-310. doi: 10.46234/ccdcw2023.056
Abstract(4803) HTML (152) PDF 635KB(32)
Abstract:
What is already known about this topic?

The burden of heart disease is increasing rapidly due to the aging population and changing lifestyles in China.

What is added by this report?

This study investigated the evolution of mortality rates due to heart disease in urban and rural areas of China over the past 35 years, and identified the age-period-cohort effects on mortality changes.

What are the implications for public health practice?

Healthcare providers should prioritize attention to heart disease among older males living in rural areas.

Enterohemorrhagic Escherichia coli O157:H7 — Xuzhou City, Jiangsu Province, China, 2001–2021
Wenwen Zhu, Hui Guo, Jingjing Xu, Weiwei Wu, Yanmin Yi, Jiao Wang, Ran Duan, Jing Tong, Yangguang Du
2023, 5(14): 311-314. doi: 10.46234/ccdcw2023.057
Abstract(5258) HTML (155) PDF 270KB(32)
Abstract:
What is already known about this topic?

The largest and longest outbreak of diarrhea, which was complicated with hemolytic uremic syndrome (HUS) caused by enterohemorrhagic Escherichia coli (EHEC) O157:H7, occurred in Xuzhou City and its adjacent areas from 1999 to 2000 in China.

What is added by this report?

According to surveillance results from 2001 to 2021, there was a significant decrease in the isolation rate of O157:H7, and cattle and sheep remained the primary hosts. However, non-Shiga toxin-producing O157:H7 emerged as the dominant strain, with stx2+stx1- strains following closely behind.

What are the implications for public health practice?

National surveillance of O157:H7 effectively serves as an early warning system and guidance for assessing the intensity and trend of disease epidemics. It is crucial to raise awareness of the public health risks associated with Shiga toxin-producing E. coli.

Perspectives
Notes from the Field