Objective To examine time-series changes and similarities in the scope of infectious disease-related issues concerned by Chongqing and Tianjin municipal government from 2000 to 2017, and to analyze the correlation between the scope of concerned issues and infectious disease incidence in the two municipalities.
Methods From websites of government departments and professional institutions of Chongqing and Tianjin municipality, we collected 82 and 309 published documents on laws, regulations and policies in relation to prevention and control of infectious diseases from 2000 to 2017; the data on infectious disease incidence for the two municipalities during the same period were also retrieved from health and family planning statistics yearbooks. The scope of infectious disease-related issues concerned by government administrations was identified according to whether there were proposed prevention or control indicators for specific infectious diseases in the documents. Spearman correlation and univariate regression analysis were used to explore the relationship between the concerned scope and the infectious disease incidence.
Results In 2017, the ratio of the infectious disease-related issues actually concerned versus that should be concerned by the government administrations were 78.8% (41/52) and 84.6% (44/52) for Chongqing and Tianjin, respectively, with the increases of 13.9% and 25.7% compared to those in 2000. There are correlations between the scope of concerned infectious disease-related issues and infectious disease incidence in Chongqing and Tianjin municipality (r = – 0.586 and r = – 0.934, both P < 0.05).
Conclusion The scope of infectious disease-related issues concerned by government administrations increased obviously during 2000 – 2017 in Chongqing and Tianjin municipality, indicating a substantial government dominance in the prevention and control of infectious diseases.