# Epidemiological characteristics of human psittacosis in Guangdong Province, China, 2019–2024

## TL;DR

This study examines the rising cases of psittacosis in Guangdong, China, from 2019 to 2024, highlighting trends and risk factors for better prevention.

## Contribution

The study provides the first detailed epidemiological analysis of psittacosis in Guangdong, identifying key risk factors and hotspots.

## Key findings

- Psittacosis incidence increased from 2019 to 2024, with peaks in winter and spring.
- Nansha, Boluo, and Shunde were identified as hotspots for psittacosis cases.
- Older males and individuals with underlying diseases were at higher risk for psittacosis pneumonia.

## Abstract

Psittacosis is a non-statutory infectious disease and receives relatively low attention in China. Since 2019, the incidence of psittacosis in Guangdong Province has been continuously increasing. Therefore, it is necessary to understand the epidemiological characteristics, providing a basis for optimizing psittacosis prevention and control.

This study included psittacosis cases reported in Guangdong Province from 2019 to 2024. Data were collected and a retrospective survey was conducted. The spatiotemporal distribution, clinical manifestations and epidemiological exposure histories were analyzed. Logistic regression model was used to explored the risk factors for psittacosis pneumonia.

A total of 435 psittacosis cases were reported in Guangdong Province. It demonstrated an overall increasing trend in the incidence rate, with cases predominantly occurring in winter and spring. Nansha District in Guangzhou (p < 0.001), Boluo in Huizhou (p < 0.001) and Shunde in Foshan (p = 0.001) were identified as hotspots for psittacosis. The incidence rate of psittacosis was higher in males (χ2 = 17.26, p < 0.001) and in the 50–79 age group (χ2 = 123.45, p < 0.001). Univariate regression analysis showed that underlying diseases are a risk factor for psittacosis pneumonia [OR (95% CI) = 2.47(1.42, 3.31), p = 0.01]. There were 162 cases with a history of epidemiological exposure, but only 42 cases (25.93%) used protective measures.

The incidence of psittacosis has been increasing in Guangdong Province recently, posing a threat to individuals with poultry exposure. In the future, it is suggested to enhance the monitoring of individuals with daily contact with poultry, particularly for the older adult, in winter and spring.