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A model for assessing cross-regional transmission risk of respiratory infectious diseases based on COVID-19 epidemic data: a modelling analysis
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Xinyang ZHANG1, 2, Hengxue WANG1, Tao MA1, Songning DING1, Runhui GU1, Zikang YAN1, Jie DING1, 2
Chinese Journal of Public Health | 2025, 41(9) : 1118 - 1123
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Chinese Journal of Public Health | 2025, 41(9): 1118-1123
• Survey and Report •
A model for assessing cross-regional transmission risk of respiratory infectious diseases based on COVID-19 epidemic data: a modelling analysis
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Xinyang ZHANG1, 2, Hengxue WANG1, Tao MA1, Songning DING1, Runhui GU1, Zikang YAN1, Jie DING1, 2
Affiliations
  • 1Nanjing Center for Disease Control and Prevention, Nanjing Medical University, Nanjing 210003, China
  • 2School of Public Health, Nanjing Medical University, Nanjing 211116, China
Published: 2025-09-10 doi: 10.11847/zgggws1146429
Outline
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Objective

To construct a cross-regional transmission risk assessment model for respiratory infectious diseases, providing a theoretical basis, practical experience, and technical support for evaluating the risk of cross-regional transmission.

Methods

Data related to the COVID-19 epidemic in China from January 2020 to December 2022, officially released by the National Health Commission, Baidu Migration, and provincial statistical bureaus, were collected. Nine epidemic events were selected: the 2020 Wuhan, Hubei province epidemic; the 2021 Shijiazhuang, Hebei province epidemic; the 2021 Xi'an, Shaanxi province epidemic; the 2022 Shanghai epidemic; the 2022 Beihai, Guangxi Zhuang Autonomous Region epidemic; the 2022 Sanya, Hainan province epidemic; the 2022 Hohhot, Inner Mongolia Autonomous Region epidemic; the 2022 Zhengzhou, Henan province epidemic; and the 2022 Shijiazhuang, Hebei province epidemic. Principal component analysis (PCA) was used to construct a comprehensive input risk index formula for urban epidemics to quantitatively assess the comprehensive cross-regional epidemic input risk. The principal components with higher contribution rates were used as feature vectors for a support vector machine (SVM) model, with the actual intercity epidemic transmission status as the target variable. The SVM was used for model construction and prediction, and the Shapley Additive exPlanations (SHAP) method was used for model interpretability analysis.

Results

Five factors were extracted by PCA: local socioeconomic activity factor (F1), epidemic source socioeconomic activity factor (F2), urban policy implementation factor (F3), urban population inflow and geographical distance-related factor (F4), and urban epidemic transmission index factor (F5), with a cumulative variance contribution rate of 82.32%. Based on the principal component score coefficients and variance contribution rates, the formula for the comprehensive input risk index score was: F=0.2178×F1+0.1841×F2+0.1556×F3+0.1419×F4+0.1238×F5. The SVM model achieved a prediction accuracy of 84.88%, precision of 75.00%, recall of 57.14%, and an F1-score of 64.86%. SHAP analysis showed that the SHAP values of F1, F2, F3, F4, and F5 were 0.15, 0.09, 0.08, 0.08, and 0.12, respectively, contributing 29.23%, 16.72%, 15.26%, 16.09%, and 22.70% to the assessment of transmission risk.

Conclusions

The cross-regional transmission risk assessment model for respiratory infectious diseases constructed in this study, based on COVID-19 epidemic data, demonstrates good applicability and accuracy in quantifying the risk of cross-regional importation and predicting transmission, providing theoretical support and practical reference for the scientific formulation of respiratory infectious disease prevention and control strategies.

respiratory infectious diseases  /  cross-regional transmission risk  /  COVID-19 epidemic data  /  evaluation model construction
张新杨, 王恒学, 马涛, 丁松宁, 顾润晖, 严子康, 丁洁. 基于新型冠状病毒感染疫情数据的呼吸道传染病跨地区传播风险评估模型构建. 中国公共卫生, 2025 , 41 (9) : 1118 -1123 . DOI: 10.11847/zgggws1146429
Xinyang ZHANG, Hengxue WANG, Tao MA, Songning DING, Runhui GU, Zikang YAN, Jie DING. A model for assessing cross-regional transmission risk of respiratory infectious diseases based on COVID-19 epidemic data: a modelling analysis[J]. Chinese Journal of Public Health, 2025 , 41 (9) : 1118 -1123 . DOI: 10.11847/zgggws1146429
Year 2025 volume 41 Issue 9
90
41
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Article Info
doi: 10.11847/zgggws1146429
  • Receive Date:2024-11-15
  • Online Date:2026-10-25
  • Published:2025-09-10
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History
  • Received:2024-11-15
  • Revised:2025-03-15
  • Accepted:2025-05-14
Affiliations
    1Nanjing Center for Disease Control and Prevention, Nanjing Medical University, Nanjing 210003, China
    2School of Public Health, Nanjing Medical University, Nanjing 211116, China

Corresponding:

DING Jie, E-mail:
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表12种不同金属材料的力学参数
科
Family
属数
Number of
genus
种数
Number of
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Number of
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Percentage of total
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鹅膏菌科Amanitaceae 2 11 5.26 鹅膏菌属 Amanita 10 4.78
小菇科 Mycenaceae 2 12 5.74 丝盖伞属 Inocybe 5 2.39
多孔菌科 Polyporaceae 8 14 6.70 蜡蘑属 Laccaria 5 2.39
红菇科 Russulaceae 3 23 11.00 小皮伞属 Marasmius 6 2.87
小菇属 Mycena 11 5.26
光柄菇属 Pluteus 5 2.39
红菇属 Russula 17 8.13
栓菌属 Trametes 5 2.39
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