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Trend and prediction of daily incidence of hand, foot, and mouth disease in Shenzhen, 2011 - 2023 with projections to 2024: a Prophet model approach
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Wenhai LU1, 3, Lixia SONG2, 3, Huawei XIONG2, Zhigao CHEN2, Yan LU2, Yanpeng CHENG2, Zhen ZHANG2
Chinese Journal of Public Health | 2025, 41(5) : 585 - 591
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Chinese Journal of Public Health | 2025, 41(5): 585-591
• Survey and Report •
Trend and prediction of daily incidence of hand, foot, and mouth disease in Shenzhen, 2011 - 2023 with projections to 2024: a Prophet model approach
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Wenhai LU1, 3, Lixia SONG2, 3, Huawei XIONG2, Zhigao CHEN2, Yan LU2, Yanpeng CHENG2, Zhen ZHANG2
Affiliations
  • 1Department of Infectious Disease Control and Prevention, Pingdi Street Public Health Service Center, Longgang District, Shenzhen 518117, China
  • 2Department of Infectious Disease Control and Prevention, Shenzhen Center for Disease Control and Prevention, Shenzhen 518055, China
  • 3The 7th Field Epidemiology Training Program in Shenzhen, Shenzhen 518055, China
Published: 2025-05-10 doi: 10.11847/zgggws1146131
Outline
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Objective

To evaluate the performance of the Prophet model in predicting the daily incidence of hand, foot, and mouth disease (HFMD) in Shenzhen city, to analyze the impact of the COVID-19 pandemic, public holidays, and school vacations (summer/winter) on HFMD predictions, and to provide new insights for HFMD surveillance and early warning systems.

Methods

Using daily incidence rate data of hand, foot, and mouth disease (HFMD) in Shenzhen city from 2011 to 2023 as a training set, we constructed different Prophet models based on two factors: (1) whether data from the COVID-19 epidemic period were included, and (2) whether holiday effects were adjusted. These models were then used to predict the daily incidence rate from January to July 2024, and the predictions were compared with the actual observations. Model performance was evaluated using four metrics: mean square error (MSE), mean absolute error (MAE), root mean square error (RMSE), and symmetric mean absolute percentage error (SMAPE).

Results

Compared to the Prophet model trained on data during the COVID-19 pandemic, the baseline Prophet model (without pandemic data) achieved reductions in daily average MSE, MAE, RMSE, and SMAPE of 45.64%, 27.63%, 25.89%, and 7.97%, respectively. After controlling for holiday effects, the MAE, RMSE, and SMAPE values remained unchanged. When the prediction horizon exceeded 4 months, the daily MSE decreased by 3.81%. For predictions within 4 months, the model yielded MSE, MAE, RMSE, and SMAPE values (with 95% confidence intervals) of 0.42 (0.33, 0.90), 0.51 (0.45, 0.75), 0.65 (0.57, 0.95), and 0.42 (0.24, 0.44), respectively. In contrast, the predictions at 7 months showed higher errors: MSE 1.78 (0.39, 29.61), MAE 0.94 (0.48, 3.05), RMSE 1.33 (0.63, 5.44), and SMAPE 0.40 (0.33, 0.43).

Conclusions

During the COVID-19 pandemic (2020 - 2022), the daily HFMD incidence rate significantly affected the performance of the Prophet model. While controlling for holidays and school vacations (winter/summer) had a limited effect on short-term predictions, it improved the model′s accuracy for long-term predictions.

hand, foot, and mouth disease  /  Prophet model  /  time series analysis  /  prediction  /  Shenzhen city
卢文海, 宋丽霞, 熊华威, 陈志高, 路滟, 程雁鹏, 张振. 基于Prophet模型的深圳市手足口病日发病率趋势分析与预测. 中国公共卫生, 2025 , 41 (5) : 585 -591 . DOI: 10.11847/zgggws1146131
Wenhai LU, Lixia SONG, Huawei XIONG, Zhigao CHEN, Yan LU, Yanpeng CHENG, Zhen ZHANG. Trend and prediction of daily incidence of hand, foot, and mouth disease in Shenzhen, 2011 - 2023 with projections to 2024: a Prophet model approach[J]. Chinese Journal of Public Health, 2025 , 41 (5) : 585 -591 . DOI: 10.11847/zgggws1146131
Year 2025 volume 41 Issue 5
97
43
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Article Info
doi: 10.11847/zgggws1146131
  • Receive Date:2024-11-06
  • Online Date:2026-10-25
  • Published:2025-05-10
Article Data
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History
  • Received:2024-11-06
  • Revised:2024-12-15
  • Accepted:2025-04-12
Affiliations
    1Department of Infectious Disease Control and Prevention, Pingdi Street Public Health Service Center, Longgang District, Shenzhen 518117, China
    2Department of Infectious Disease Control and Prevention, Shenzhen Center for Disease Control and Prevention, Shenzhen 518055, China
    3The 7th Field Epidemiology Training Program in Shenzhen, Shenzhen 518055, China

Corresponding:

ZHANG Zhen, E-mail:
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表12种不同金属材料的力学参数
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Family
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Number of
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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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