Human granulocytic anaplasmosis in China

GIDEON was quoted in a recent ProMED post related to a case of unknown hemorrhagic disease in China:

Background information on HGA in China is available on the Global Infectious Disease and Epidemiology Network (GIDEON) website.

Seropositive ruminants have been documented in Xinjiang Uygur Autonomous Region area. (see ref 1 below)
- Seropositive rodents have been documented in Jilin Province: Japanese field mouse (_Apodemus peninsulae_), Black-striped field mouse (_A. agrarius_) and Siberian chipmunk (_Tamias sibiricu_). (see
ref 2 below)

Ehrlichial DNA (Anaplasma phagocytophilum) has been detected in _Ixodes persulcatus_ ticks from the Northeastern (ie, Lyme disease) region – Inner Mongolia and Heilongjiang Province. (see refs 3 and 4 below)
- Infected I. persulcatus and Dermacentor silvarum have been detected in Jilin Province. (see ref 2 below)

Prevalence surveys:
8.82 percent of forest rodents in Jilin province, 1.64 percent in Helongjiang province and 0 percent in Inner Mongolia autonomous region (2007 publication) (see ref 5 below)
4.6 percent to 6.8 percent of _I. persulcatus_ in Jilin province (2003 to 2005 publications) (see refs 3 and 4 below)
14.1 percent of rodents captured from a mountainous area in southeastern China (Zhejiang Province, 2008 publication) (see ref 6 below)

Seroprevalence surveys:
8.8 percent of farm workers near Tianjin (2006) (see ref 7 below).

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