Background:The cancer burden in the United States of America (USA) has decreased gradually. However, China is experiencing a transition in its cancer profiles, with greater incidence of cancers that were previously more common in the USA. This study compared the latest cancer profiles, trends, and determinants between China and USA.Methods:This was a comparative study using open-source data. Cancer cases and deaths in 2022 were calculated using cancer estimates from GLOBOCAN 2020 and population estimates from the United Nations. Trends in cancer incidence and mortality rates in the USA used data from the Surveillance, Epidemiology, and End Results program and National Center for Health Statistics. Chinese data were obtained from cancer registry reports. Data from the Global Burden of Disease 2019 and a decomposition method were used to express cancer deaths as the product of four determinant factors.Results:In 2022, there will be approximately 4,820,000 and 2,370,000 new cancer cases, and 3,210,000 and 640,000 cancer deaths in China and the USA, respectively. The most common cancers are lung cancer in China and breast cancer in the USA, and lung cancer is the leading cause of cancer death in both. Age-standardized incidence and mortality rates for lung cancer and colorectal cancer in the USA have decreased significantly recently, but rates of liver cancer have increased slightly. Rates of stomach, liver, and esophageal cancer decreased gradually in China, but rates have increased for colorectal cancer in the whole population, prostate cancer in men, and other seven cancer types in women. Increases in adult population size and population aging were major determinants for incremental cancer deaths, and case-fatality rates contributed to reduced cancer deaths in both countries.Conclusions:The decreasing cancer burden in liver, stomach, and esophagus, and increasing burden in lung, colorectum, breast, and prostate, mean that cancer profiles in China and the USA are converging. Population aging is a growing determinant of incremental cancer burden. Progress in cancer prevention and care in the USA, and measures to actively respond to population aging, may help China to reduce the cancer burden.
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Bats are reservoir animals harboring many important pathogenic viruses and with the capability of transmitting these to humans and other animals. To establish an effective surveillance to monitor transboundary spread of bat viruses between Myanmar and China, complete organs from the thorax and abdomen from 853 bats of six species from two Myanmar counties close to Yunnan province, China, were collected and tested for their virome through metagenomics by Solexa sequencing and bioinformatic analysis. In total, 3,742,314 reads of 114 bases were generated, and over 86% were assembled into 1,649,512 contigs with an average length of 114 bp, of which 26,698 (2%) contigs were recognizable viral sequences belonging to 24 viral families. Of the viral contigs 45% (12,086/26,698) were related to vertebrate viruses, 28% (7,443/26,698) to insect viruses, 27% (7,074/26,698) to phages and 95 contigs to plant viruses. The metagenomic results were confirmed by PCR of selected viruses in all bat samples followed by phylogenetic analysis, which has led to the discovery of some novel bat viruses of the genera Mamastrovirus, Bocavirus, Circovirus, Iflavirus and Orthohepadnavirus and to their prevalence rates in two bat species. In conclusion, the present study aims to present the bat virome in Myanmar, and the results obtained further expand the spectrum of viruses harbored by bats.
Although many severe acute respiratory syndrome-like coronaviruses (SARS-like CoVs) have been identified in bats inC oronaviruses (CoVs) in the subfamily Coronavirinae are important pathogens of mammalian and avian animals and currently compose four genera: Alphacoronavirus, Betacoronavirus, Gammacoronavirus, and Deltacoronavirus (1). Members of Alphacoronavirus and Betacoronavirus are found exclusively in mammals, e.g., human CoV 229E, NL63, and OC43, and cause human respiratory diseases (2). A CoV is also the causative agent of severe acute respiratory syndrome (SARS), the first global human pandemic disease of the 21st century, which spread to 30 countries in five continents, resulting in Ͼ8,000 human cases with 774 deaths (3, 4). SARS CoV is a member of the Betacoronavirus genus and is largely distinct from previously known human CoVs OC43 and 229E (5-7). To identify the transmission source of SARS, largescale animal screening was implemented in May 2003, and several strains of SARS CoVs were isolated from nasal and/or fecal swabs of six masked palm civets (Paguma larvata) and one raccoon dog (Nyctereutes procyonoides) collected from a wet market in Shenzhen retailing wild animals for exotic foods (8). Their full genome sequences were 99.8% identical to that of human SARS CoV, and therefore civets were deemed to be an animal reservoir of this virus (8). Further serological studies over a larger area revealed that only civets in the market were SARS seropositive, while farmed civets were seronegative, indicating that civets likely became infected from an unknown source in wet markets, not in the farming environment (9). Moreover, a comprehensive analysis of cross-host
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