Systematic Review and Meta-analysis of Lyme Disease Data and Seropositivity for Borrelia burgdorferi, China, 2005‒2020
James H. Stark
, Xiuyan Li, Ji Chun Zhang, Leah Burn, Srinivas R. Valluri, Jiaxin Liang, Kaijie Pan, Mark A. Fletcher, Raphael Simon, Luis Jodar, and Bradford D. Gessner
Author affiliations: Pfizer Inc., Collegeville, Pennsylvania, USA (J.H. Stark, K. Pan, L. Jodar, B.D. Gessner); Yale School of Public Health, New Haven, Connecticut, USA (X. Li); Pfizer China, Beijing, China (J.C. Zhang, J. Liang); P95 Pharmacovigilance & Epidemiology, Princeton, New Jersey, USA (L. Burn); Pfizer Inc., New York, New York, USA (S.R. Valluri); Pfizer Emerging Markets, Paris, France (M.A. Fletcher); Pfizer Vaccine Research & Development, Pearl River, New York, USA (R. Simon)
Figure 2. Estimated seropositivity for Borrelia burgdorferi, by province, China, 2005–2020. Ixodes persulcatus ticks, among the most frequently identified ticks in China, have been found across the northeastern and select western, central and eastern provinces. I. sinensis and I. granulatus ticks are the main identified vectors in the southern and eastern regions of the country. Variations in seropositivity reflect differences in tick competency, tick bite risk, and diagnostic tests. Numbers in key are percentages. NA, not applicable.
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